| Copperview Dental | |
|
1909 W 4700 S Taylorsville UT 84118-1105 | |
| (801) 398-9548 | |
| Not Available |
| Full Name | Copperview Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1909 W 4700 S, Taylorsville, Utah |
| Authorized Official Name and Position | Nicholas B Lafeber (OWNER) |
| Authorized Official Contact | 8015660660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copperview Dental 1909 W 4700 S Taylorsville UT 84118-1105 Ph: (801) 398-9548 | Copperview Dental 1909 W 4700 S Taylorsville UT 84118-1105 Ph: (801) 398-9548 |
| NPI Number | 1174774103 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174774103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 320562 (Utah) | Primary |
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