Organization
920 LOBO CANYON GRANTS PROFESSIONAL, LLC
Active
Other names
Sundance Dental Care of Grants
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GRUMBOS DDS (DENTIST/OWNER)
(505) 722-4422
Entity
Organization
Contact information
Practice address
920 LOBO CANYON RD, GRANTS, NM 87020-2173
(505) 722-4422
Mailing address
920 LOBO CANYON RD, GRANTS, NM 87020-2173
(505) 722-4422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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