Organization
SG DENTAL PLLC
Active
Other names
Bonneville Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SPENCER GRUBER DMD (DENTIST)
(435) 665-7730
Entity
Organization
Contact information
Practice address
225 SKYHAWK DR, WENDOVER, UT 84083-4501
(801) 718-6881
Mailing address
3569 W 10305 S, SOUTH JORDAN, UT 84095-8213
(435) 665-7730
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
06/06/2025
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