Canyon River Dental
Canyon River Dental is a Dentist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
Practice location Address checks out
3707 N Canyon Rd Ste 7DProvo, UT 84604
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
| Dentist (primary) | Taxonomy 122300000X · Licence 3124349922 (UT) |
|---|
Record details
| NPI number | 1821196197 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Mangrum — Dentist · (801) 221-5859 |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3707 N Canyon Rd, Suite 7d, Provo, UT 84604 |
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