Dentistryone Of Utah Pc | |
2901 W Blue Grass Blvd Ste 200 Lehi UT 84043-4190 | |
(877) 712-7875 | |
Not Available |
Full Name | Dentistryone Of Utah Pc |
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Speciality | Dentist - General Practice |
Location | 2901 W Blue Grass Blvd Ste 200, Lehi, Utah |
Authorized Official Name and Position | Derek Weigand (OWNER) |
Authorized Official Contact | 8777127875 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentistryone Of Utah Pc 460 Main St Ste B Metuchen NJ 08840-1834 Ph: () - | Dentistryone Of Utah Pc 2901 W Blue Grass Blvd Ste 200 Lehi UT 84043-4190 Ph: (877) 712-7875 |
NPI Number | 1679317960 |
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Provider Enumeration Date | 06/21/2024 |
Last Update Date | 06/21/2024 |
Identifier | Type | State | Issuer |
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1679317960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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