Canyon Crest Dental Pc | |
1899 W Traverse Pkwy Ste B Lehi UT 84043-5995 | |
(801) 597-4570 | |
Not Available |
Full Name | Canyon Crest Dental Pc |
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Speciality | Clinic/center - Dental |
Location | 1899 W Traverse Pkwy Ste B, Lehi, Utah |
Authorized Official Name and Position | Geoffrey Grant (PRESIDENT) |
Authorized Official Contact | 8015974570 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Canyon Crest Dental Pc 1899 W Traverse Pkwy Ste B Lehi UT 84043-5995 Ph: () - | Canyon Crest Dental Pc 1899 W Traverse Pkwy Ste B Lehi UT 84043-5995 Ph: (801) 597-4570 |
NPI Number | 1982123923 |
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Provider Enumeration Date | 09/11/2017 |
Last Update Date | 09/11/2017 |
Identifier | Type | State | Issuer |
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1982123923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 9540983-9922 (Utah) | Primary |
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