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Organization
ALPINE DENTISTS AND SPECIALISTS PLLC
Active
Organization
ALPINE DENTISTS AND SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT STUCKI DDS, MS (OWNER)
(720) 775-5843
Entity
Organization
Contact information
Practice address
20 W MAIN STREET CT STE 100, ALPINE, UT 84004-1889
(801) 756-3570
Mailing address
20 W MAIN STREET CT STE 100, ALPINE, UT 84004-1889
(801) 756-3570
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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