| Forever Young Dental | |
|
46 W 100 N Richfield UT 84701-2530 | |
| (435) 893-2190 | |
| (435) 893-2191 |
| Full Name | Forever Young Dental |
|---|---|
| Speciality | Dentist |
| Location | 46 W 100 N, Richfield, Utah |
| Authorized Official Name and Position | Todd Paul Lee (DENTIST/OWNER) |
| Authorized Official Contact | 4358932190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forever Young Dental 46 W 100 N Richfield UT 84701-2530 Ph: (435) 893-2190 | Forever Young Dental 46 W 100 N Richfield UT 84701-2530 Ph: (435) 893-2190 |
| NPI Number | 1750836839 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750836839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 322871-9923 (Utah) | Primary |
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