| Intermountain Dental Specialists, Llc | |
|
1747 Heritage Ln Syracuse UT 84075-8552 | |
| (801) 841-3300 | |
| Not Available |
| Full Name | Intermountain Dental Specialists, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1747 Heritage Ln, Syracuse, Utah |
| Authorized Official Name and Position | Kevin Cahoon (DDS) |
| Authorized Official Contact | 8015609757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Dental Specialists, Llc 3150 Sawtelle Blvd Apt 308 Los Angeles CA 90066-1445 Ph: (707) 490-9125 | Intermountain Dental Specialists, Llc 1747 Heritage Ln Syracuse UT 84075-8552 Ph: (801) 841-3300 |
| NPI Number | 1780048868 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780048868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 6413227-9922 (Utah) | Primary |
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