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Organization
GRANT ROAD DENTAL
Active
Organization
GRANT ROAD DENTAL
Active
Parent organization
LOS GATOS DENTAL SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOS GATOS DENTAL SPECIALISTS
Authorized official
ROBERT RUTNER DDS (OWNER)
(650) 938-8127
Entity
Organization
Contact information
Practice address
1040 GRANT RD STE 105, MOUNTAIN VIEW, CA 94040-3274
(650) 938-8127
(650) 230-4925
Mailing address
15075 LOS GATOS BLVD STE 120, LOS GATOS, CA 95032-2049
(408) 884-8155
(408) 252-1904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33512
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
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Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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