Youngfamilydentalaf | |
483 E 200 S American Fork UT 84003-2503 | |
(801) 756-7173 | |
(801) 756-4577 |
Full Name | Youngfamilydentalaf |
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Speciality | Dentist - General Practice |
Location | 483 E 200 S, American Fork, Utah |
Authorized Official Name and Position | Susan J. John (OFFICE MANAGER) |
Authorized Official Contact | 8017567173 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Youngfamilydentalaf 483 E 200 S American Fork UT 84003-6279 Ph: (801) 756-7173 | Youngfamilydentalaf 483 E 200 S American Fork UT 84003-2503 Ph: (801) 756-7173 |
NPI Number | 1629119409 |
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Provider Enumeration Date | 02/12/2007 |
Last Update Date | 03/24/2017 |
Identifier | Type | State | Issuer |
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1629119409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 4766943-9922 (Utah) | Primary |
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