Organization
CANYON CREST DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY GRANT DDS (PRESIDENT)
(801) 597-4570
Entity
Organization
Contact information
Practice address
1899 W TRAVERSE PKWY STE B, LEHI, UT 84043-5995
(801) 597-4570
Mailing address
1899 W TRAVERSE PKWY STE B, LEHI, UT 84043-5995
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9540983-9922
UT
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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