Organization
GRANITE SPRINGS DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERRILL BASSETT DDS (OWNER)
(720) 670-0798
Entity
Organization
Contact information
Practice address
2316 DELL RANGE BLVD, CHEYENNE, WY 82009-5191
(720) 670-0798
Mailing address
2316 DELL RANGE BLVD, CHEYENNE, WY 82009-5191
(720) 670-0798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1270
WY
Other
Enumeration date
04/12/2012
Last updated
04/07/2014
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