Genesis Dental of Granger
NPI #1548685266 in West Valley City, Utah
Provider Information
- NPI Number
- 1548685266
- Entity Type
- Organization
- Organization Name
- Genesis Dental of Granger
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 4, 2014
- Last Updated
- Mar 26, 2024
Practice Location
- Address
- 3725 W 4100 S
- Address 2
- SUITE 240
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120-5530
- Phone
- (801) 965-2700
Authorized Official
- Name
- MR. JASON D CASTO
- Title
- MEMBER/OWNER
- Phone
- (801) 870-0625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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