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576 E Hwy 138 Suite 200 Stansbury Park UT 84074 | |
| (435) 728-0550 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 576 E Hwy 138, Stansbury Park, Utah |
| Authorized Official Name and Position | April Hinton (OWNER) |
| Authorized Official Contact | 4357280550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
576 E Hwy 138 Suite 200 Stansbury Park UT 84074 Ph: (435) 728-0550 | 576 E Hwy 138 Suite 200 Stansbury Park UT 84074 Ph: (435) 728-0550 |
| NPI Number | 1629311170 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 04/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629311170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5006219922 (Utah) | Primary |
| 1223G0001X | Dentist - General Practice | 5006218903 (Utah) | Secondary |
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