Individual
DR. BRIAN SCOTT GRONEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1434 E 4500 S, SUITE #201, SALT LAKE CITY, UT 84117-4250
(801) 272-5800
(801) 272-5897
Mailing address
1434 E 4500 S, SUITE #201, SALT LAKE CITY, UT 84117-4250
(801) 272-5800
(801) 272-5897
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
91-145394-9923
UT
Other
Enumeration date
12/18/2006
Last updated
11/02/2021
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