DR. Stephen B Grandy, DDS

NPI #1407261407 in Pocatello, Idaho

Provider Information

NPI Number: 1407261407
Entity Type: Individual
Name: DR. Stephen B Grandy, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 27, 2014
Last Updated: Mar 7, 2023

Practice Location

Address: 465 MEMORIAL DRIVE
City: Pocatello
State: Idaho
ZIP Code: 83209-0000
Phone: (208) 282-3289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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