The Dental Edge | |
1355 N University Ave Ste 310 Provo UT 84604-2721 | |
(801) 373-2693 | |
Not Available |
Full Name | The Dental Edge |
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Speciality | Clinic/center - Dental |
Location | 1355 N University Ave Ste 310, Provo, Utah |
Authorized Official Name and Position | Christy Hardman (OFFICE MANAGER) |
Authorized Official Contact | 8013732693 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Dental Edge 1355 N University Ave Ste 310 Provo UT 84604-2721 Ph: (801) 373-2693 | The Dental Edge 1355 N University Ave Ste 310 Provo UT 84604-2721 Ph: (801) 373-2693 |
NPI Number | 1063923258 |
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Provider Enumeration Date | 10/16/2017 |
Last Update Date | 10/16/2017 |
Identifier | Type | State | Issuer |
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1063923258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 275985-9922 (Utah) | Primary |
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