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Individual

TAYLOR GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
793 E WINCHESTER ST, MURRAY, UT 84107-7564
(801) 849-1045
Mailing address
793 E WINCHESTER ST, MURRAY, UT 84107-7564

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12872234-9922
UT

Other

Enumeration date
05/27/2022
Last updated
05/27/2022
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