Organization
ENDODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SCOTT GRONEMAN D.D.S. (ENDODONTIST)
(801) 272-5800
Entity
Organization
Contact information
Practice address
1434 E 4500 S STE 201, SALT LAKE CITY, UT 84117-4252
(801) 272-5800
(801) 272-5897
Mailing address
1434 E 4500 S STE 201, SALT LAKE CITY, UT 84117-4252
(801) 272-5800
(801) 272-5897
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
0144898992
UT
1223E0200X
Endodontics
Primary
145399923
UT
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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