Grantsville Dental Clinic PC
NPI #1851478572 in Grantsville, Utah
Provider Information
- NPI Number
- 1851478572
- Entity Type
- Organization
- Organization Name
- Grantsville Dental Clinic PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 14 N HALE ST
- City
- Grantsville
- State
- Utah
- ZIP Code
- 84029-9315
- Phone
- (435) 884-3476
Authorized Official
- Name
- DR. KENNETH GLEN KILLIAN, D.D.S.
- Title
- GENERAL DENTIST
- Phone
- (435) 884-3476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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