Canyon River Dental
Canyon River Dental is a General Practice Dentistry in Provo, Utah. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
3707 N Canyon Rd Ste 7DProvo, UT 84604-4592
Phone: (801) 221-5859
Fax: (801) 221-7091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1306277546 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | El Al Chinn Eem |
| Authorized official | Mark Lomenick — Cfo · (801) 221-5859 |
| NPI enumerated | December 12, 2013 |
| Last updated in NPPES | December 12, 2013 |
| Mailing address | 3707 N Canyon Rd, Suite 7d, Provo, UT 84604-4592 |
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