Grandpa's Dental Inc.
NPI #1144422429 in Provo, Utah
Provider Information
- NPI Number
- 1144422429
- Entity Type
- Organization
- Organization Name
- Grandpa's Dental Inc.
- Primary Specialty
- Dentist
- Enumeration Date
- May 31, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. ABRAHAM RODRIGUES
- Title
- PRESIDENT
- Phone
- (801) 374-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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