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Individual
DR. GRANT GUY CORDNER
Active
Individual
DR. GRANT GUY CORDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11286066-9922
UT
1223G0001X
General Practice Dentistry
Primary
D-5436
ID
Other
Enumeration date
05/23/2019
Last updated
04/21/2026
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