| Ismile Implant And Surgical Centera | |
|
306 N Main St Kaysville UT 84037-6766 | |
| (801) 879-2343 | |
| Not Available |
| Full Name | Ismile Implant And Surgical Centera |
|---|---|
| Speciality | Dentist |
| Location | 306 N Main St, Kaysville, Utah |
| Authorized Official Name and Position | Jessica Russell (OFFICE MANAGER) |
| Authorized Official Contact | 8018792343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Implant And Surgical Centera 306 N Main St Kaysville UT 84037-6766 Ph: (801) 879-2343 | Ismile Implant And Surgical Centera 306 N Main St Kaysville UT 84037-6766 Ph: (801) 879-2343 |
| NPI Number | 1427486000 |
|---|---|
| Provider Enumeration Date | 10/17/2013 |
| Last Update Date | 10/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427486000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8367155 (Utah) | Primary |
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