GENESIS DENTAL OF GRANGER NPI 1548685266

NPI Information

GENESIS DENTAL OF GRANGER is a general practice dentist in West Valley City, UT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GENESIS DENTAL OF GRANGER NPI is 1548685266. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3725 W 4100 S
SUITE 240
WEST VALLEY CITY, UT
ZIP 84120-530
Phone: (801) 965-2700
Fax: (801) 965-2701

The provider's authorized official is Jason D Casto .
The authorized official title is Member/owner and has the following contact phone number (801) 870-0625.

The enumeration date for this NPI number is 3/4/2014 and was last updated on 3/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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