Individual
JANICE K GRUTZIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
15833 N 29TH ST, PHOENIX, AZ 85032-3704
(602) 493-6193
Mailing address
125 CAMINO DEL SOL, SEDONA, AZ 86336-5454
(928) 204-5559
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4057
AZ
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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