Mountain Ridge Dental, Llc | |
1256 S State St Suite 103 Orem UT 84097-8237 | |
(801) 224-7182 | |
(801) 235-0835 |
Full Name | Mountain Ridge Dental, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 1256 S State St, Orem, Utah |
Authorized Official Name and Position | Lisa Delahunt (OWNER/MANAGER) |
Authorized Official Contact | 8012247182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mountain Ridge Dental, Llc 1256 S State St Suite 103 Orem UT 84097-8237 Ph: (801) 224-7182 | Mountain Ridge Dental, Llc 1256 S State St Suite 103 Orem UT 84097-8237 Ph: (801) 224-7182 |
NPI Number | 1457330458 |
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Provider Enumeration Date | 01/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457330458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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