Organization
GRANT DMSO LLC
Active
Other names
Wellness Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON DHAENENS (MANAGER)
(520) 372-9999
Entity
Organization
Contact information
Practice address
6288 E GRANT RD, TUCSON, AZ 85712-5831
(520) 372-9999
Mailing address
6288 E GRANT RD, TUCSON, AZ 85712-5831
(702) 525-4500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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