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720 S. River Rd. Ste B-210 St. George UT 84790 | |
(435) 656-0255 | |
(435) 656-3791 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 720 S. River Rd. Ste B-210, St. George, Utah |
Authorized Official Name and Position | Bryce Eagar (MANAGER DENTIST) |
Authorized Official Contact | 4356560255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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720 S. River Rd Ste B-210 St. George UT 84790 Ph: (435) 656-0255 | 720 S. River Rd. Ste B-210 St. George UT 84790 Ph: (435) 656-0255 |
NPI Number | 1225431307 |
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Provider Enumeration Date | 10/02/2014 |
Last Update Date | 12/19/2024 |
Identifier | Type | State | Issuer |
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1225431307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 9052028-9922 (Utah) | Primary |