| Lakeview Dental Coorperation | |
|
3626 W 5600 S Roy UT 84067-9161 | |
| (801) 985-2273 | |
| (801) 459-8781 |
| Full Name | Lakeview Dental Coorperation |
|---|---|
| Speciality | Dentist |
| Location | 3626 W 5600 S, Roy, Utah |
| Authorized Official Name and Position | James V Anderson (OWNER) |
| Authorized Official Contact | 8019852273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Dental Coorperation 3626 W 5600 S Roy UT 84067-9161 Ph: (801) 985-2273 | Lakeview Dental Coorperation 3626 W 5600 S Roy UT 84067-9161 Ph: (801) 985-2273 |
| NPI Number | 1710188933 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710188933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5370773990001 (Oregon) | Primary |
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