| Drkt-american Forks Llc | |
|
332 S 500 E American Fork UT 84003-2526 | |
| (801) 636-6571 | |
| Not Available |
| Full Name | Drkt-american Forks Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 332 S 500 E, American Fork, Utah |
| Authorized Official Name and Position | Kaleb Thompson (OWNER) |
| Authorized Official Contact | 8016366571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drkt-american Forks Llc 332 S 500 E American Fork UT 84003-2526 Ph: () - | Drkt-american Forks Llc 332 S 500 E American Fork UT 84003-2526 Ph: (801) 636-6571 |
| NPI Number | 1689382459 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 11/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689382459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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