Organization
ALPINE DENTISTS AND SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT STUCKI DDS, MS (OWNER)
(720) 775-5843
Entity
Organization
Contact information
Practice address
20 W MAIN STREET CT STE 100, ALPINE, UT 84004-1889
(801) 756-3570
Mailing address
20 W MAIN STREET CT STE 100, ALPINE, UT 84004-1889
(801) 756-3570
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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