Scott William Grant, DMD

NPI #1194898767 in Meridian, Idaho

Provider Information

NPI Number: 1194898767
Entity Type: Individual
Name: Scott William Grant, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 15, 2006
Last Updated: Jul 29, 2014

Practice Location

Address: 2275 S EAGLE RD STE 140
City: Meridian
State: Idaho
ZIP Code: 83642-2620
Phone: (208) 938-3190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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