G Dental LLC

NPI #1568972883 in Greeley, Colorado

Provider Information

NPI Number: 1568972883
Entity Type: Organization
Organization Name: G Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 2, 2017
Last Updated: Oct 2, 2017

Practice Location

Address: 2918 W 10TH ST STE 5
City: Greeley
State: Colorado
ZIP Code: 80634-5457
Phone: (970) 673-8411

Authorized Official

Name: GARY TONG
Title: OWNER
Phone: (917) 310-4558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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