Organization
GRANT FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR GRANT DDS (OWNER)
(719) 201-7026
Entity
Organization
Contact information
Practice address
225 EAGLE CREST DR, RANGELY, CO 81648-3105
(970) 272-1712
(970) 272-1726
Mailing address
225 EAGLE CREST DR, RANGELY, CO 81648-3105
(970) 272-1712
(970) 272-1726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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