Individual
NICHOLAS GRONDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3454 S 4800 W, WEST VALLEY CITY, UT 84120-1705
(801) 969-3025
Mailing address
624 W GERMANIA AVE, SALT LAKE CITY, UT 84123-4628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14223878-9926
UT
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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