| Lakeview Dental Syracuse, Inc. | |
|
1662 S 2000 W Ste A1 Syracuse UT 84075-7137 | |
| (801) 825-2273 | |
| Not Available |
| Full Name | Lakeview Dental Syracuse, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1662 S 2000 W, Syracuse, Utah |
| Authorized Official Name and Position | Sandy Gutierrez (OFFICE MANAGER) |
| Authorized Official Contact | 8018252273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Dental Syracuse, Inc. 1662 S 2000 W Ste A1 Syracuse UT 84075-7137 Ph: () - | Lakeview Dental Syracuse, Inc. 1662 S 2000 W Ste A1 Syracuse UT 84075-7137 Ph: (801) 825-2273 |
| NPI Number | 1316230360 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316230360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5370773 (Utah) | Primary |
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