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198 S 1100 E American Fork UT 84003-2817 | |
| (801) 756-0360 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 198 S 1100 E, American Fork, Utah |
| Authorized Official Name and Position | Amy Crane (OFFICE MANAGER) |
| Authorized Official Contact | 8017560360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
198 S 1100 E American Fork UT 84003-2817 Ph: (801) 756-0360 | 198 S 1100 E American Fork UT 84003-2817 Ph: (801) 756-0360 |
| NPI Number | 1730803016 |
|---|---|
| Provider Enumeration Date | 09/29/2022 |
| Last Update Date | 10/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730803016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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