| Stonehaven Dental - Orem, Llc | |
|
1802 N State St Orem UT 84057-2027 | |
| (801) 766-3600 | |
| Not Available |
| Full Name | Stonehaven Dental - Orem, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1802 N State St, Orem, Utah |
| Authorized Official Name and Position | Steve James (CFO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonehaven Dental - Orem, Llc Po Box 437169 Louisville KY 40253-7169 Ph: (502) 254-8501 | Stonehaven Dental - Orem, Llc 1802 N State St Orem UT 84057-2027 Ph: (801) 766-3600 |
| NPI Number | 1073924098 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073924098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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