| Redwood Dental | |
|
271 N Spring Creek Pkwy Suite D Providence UT 84332-9875 | |
| (435) 755-6562 | |
| Not Available |
| Full Name | Redwood Dental |
|---|---|
| Speciality | Dentist |
| Location | 271 N Spring Creek Pkwy, Providence, Utah |
| Authorized Official Name and Position | Necole Walton (OWNER) |
| Authorized Official Contact | 4357556562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Dental 271 N Spring Creek Pkwy Suite D Providence UT 84332-9875 Ph: (435) 755-6562 | Redwood Dental 271 N Spring Creek Pkwy Suite D Providence UT 84332-9875 Ph: (435) 755-6562 |
| NPI Number | 1033574975 |
|---|---|
| Provider Enumeration Date | 12/18/2015 |
| Last Update Date | 01/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033574975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 59278898903 (Utah) | Primary |
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