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Organization
GRANDPAS DENTAL CENTER LLC
Active
Organization
GRANDPAS DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELO ABATTI (MEMBER)
(801) 374-5200
Entity
Organization
Contact information
Practice address
294 W 800 N, OREM, UT 84057-3858
(801) 374-5200
Mailing address
294 W 800 N, OREM, UT 84057-3858
(801) 374-5200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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