Braces Braces Braces Of Stonehaven - Draper Llc | |
177 W 12300 S Suite 101 Draper UT 84020-9816 | |
(801) 224-0320 | |
(801) 619-2001 |
Full Name | Braces Braces Braces Of Stonehaven - Draper Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 177 W 12300 S, Draper, Utah |
Authorized Official Name and Position | Stephen James (CFO) |
Authorized Official Contact | 5022548500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Braces Braces Braces Of Stonehaven - Draper Llc 177 W 12300 S Suite 101 Draper UT 84020-9816 Ph: (801) 224-0320 | Braces Braces Braces Of Stonehaven - Draper Llc 177 W 12300 S Suite 101 Draper UT 84020-9816 Ph: (801) 224-0320 |
NPI Number | 1548702475 |
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Provider Enumeration Date | 11/09/2016 |
Last Update Date | 11/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548702475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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