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920 Lobo Canyon Grants Professional, LLC — NPI 1477218964, Grants, NM | NPI Central

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NPI 1477218964

OrganizationActive

920 Lobo Canyon Grants Professional, LLC

NPI 1477218964 · General Practice Dentistry · Grants, NM

Provider details

NPI number: 1477218964
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Peter Grumbos, Dentist/Owner(505) 722-4422

Specialties & taxonomies

General Practice DentistryPrimary1223G0001X
Dental Providers

Practice location

920 Lobo Canyon Rd

Grants, NM 87020-2173

Phone: (505) 722-4422

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

920 Lobo Canyon Rd

Grants, NM 87020-2173

Other names (DBA / former)

Doing business as: Sundance Dental Care of Grants

Registry dates

Enumerated: 2021-11-01
Last updated: 2021-11-01
Certified: 2021-10-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.