Stonehaven Dental - Mapleton Llc | |
425 N Main St Mapleton UT 84664-3410 | |
(502) 254-8500 | |
Not Available |
Full Name | Stonehaven Dental - Mapleton Llc |
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Speciality | Dentist - General Practice |
Location | 425 N Main St, Mapleton, Utah |
Authorized Official Name and Position | Corez Logan (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5022548500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stonehaven Dental - Mapleton Llc 425 N Main St Mapleton UT 84664-3410 Ph: () - | Stonehaven Dental - Mapleton Llc 425 N Main St Mapleton UT 84664-3410 Ph: (502) 254-8500 |
NPI Number | 1083010946 |
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Provider Enumeration Date | 11/05/2014 |
Last Update Date | 11/05/2014 |
Identifier | Type | State | Issuer |
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1083010946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (Utah) | Primary |
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