Organization
GRANGER ORTHODONTICS
Active
Organization
GRANGER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R TAYLOR DMF (OWNER)
(801) 966-6681
Entity
Organization
Contact information
Practice address
3725 W 4100 S, SALT LAKE CITY, UT 84120-5530
(801) 966-6681
(801) 966-6600
Mailing address
3725 W 4100 S, SALT LAKE CITY, UT 84120-5530
(801) 966-6681
(801) 966-6600
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7026989
UT
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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