| |
65 North Center Street Escalante UT 84776-0276 | |
(435) 826-4333 | |
(435) 826-4336 |
Full Name | |
---|---|
Speciality | Clinic/center - Dental |
Location | 65 North Center Street, Escalante, Utah |
Authorized Official Name and Position | Evan Christensen (CEO) |
Authorized Official Contact | 4354251102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 303 Bicknell UT 84715-0303 Ph: (435) 425-3744 | 65 North Center Street Escalante UT 84776-0276 Ph: (435) 826-4333 |
NPI Number | 1871014092 |
---|---|
Provider Enumeration Date | 06/28/2017 |
Last Update Date | 04/21/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871014092 | NPI | - | NPPES |