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720 S River Rd Suite C 215 St George UT 84790-5507 | |
| (435) 986-9799 | |
| (435) 986-0699 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 720 S River Rd, St George, Utah |
| Authorized Official Name and Position | Derek R. Evans (PRESIDENT) |
| Authorized Official Contact | 4359869799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
720 S River Rd Suite C 215 St George UT 84790-5507 Ph: (435) 986-9799 | 720 S River Rd Suite C 215 St George UT 84790-5507 Ph: (435) 986-9799 |
| NPI Number | 1811189996 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811189996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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