Alpine Dentists and Specialists Pllc

NPI #1306489059 in Alpine, Utah

Provider Information

NPI Number
1306489059
Entity Type
Organization
Organization Name
Alpine Dentists and Specialists Pllc
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Oct 25, 2019
Last Updated
Oct 25, 2019

Practice Location

Address
20 W MAIN STREET CT STE 100
City
Alpine
State
Utah
ZIP Code
84004-1889
Phone
(801) 756-3570

Authorized Official

Name
DR. GRANT STUCKI, DDS, MS
Title
OWNER
Phone
(720) 775-5843

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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