| Genesis Dental Thanksgiving Point | |
|
3098 W Executive Pkwy Ste 250 Lehi UT 84043-4715 | |
| (801) 766-5300 | |
| Not Available |
| Full Name | Genesis Dental Thanksgiving Point |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3098 W Executive Pkwy Ste 250, Lehi, Utah |
| Authorized Official Name and Position | Jason D Casto (MEMBER/OWNER) |
| Authorized Official Contact | 8018700625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Dental Thanksgiving Point 12180 S 300 E Unit 270 Draper UT 84020-2612 Ph: (801) 870-0625 | Genesis Dental Thanksgiving Point 3098 W Executive Pkwy Ste 250 Lehi UT 84043-4715 Ph: (801) 766-5300 |
| NPI Number | 1942856398 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942856398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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