Individual
DR. GRANT O QUAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1275 E FORT UNION BLVD, SUITE 200, MIDVALE, UT 84047
(801) 676-8100
(801) 569-2317
Mailing address
1275 E FORT UNION BLVD, SUITE 200, MIDVALE, UT 84047
(801) 676-8100
(801) 569-2317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
138403
UT
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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