| Genesis Dental Of Orem, Llc | |
|
320 E 800 S Orem UT 84097-6386 | |
| (801) 224-9555 | |
| (801) 352-1872 |
| Full Name | Genesis Dental Of Orem, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 320 E 800 S, Orem, Utah |
| Authorized Official Name and Position | Jason David Casto (OWNER) |
| Authorized Official Contact | 8018700625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Dental Of Orem, Llc 12180 S 300 E Unit 270 Draper UT 84020-2612 Ph: (801) 870-0625 | Genesis Dental Of Orem, Llc 320 E 800 S Orem UT 84097-6386 Ph: (801) 224-9555 |
| NPI Number | 1215107149 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215107149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 141441 (Utah) | Primary |
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