Prince Dental Group Pllc

NPI 1285044206 - Dentist - 122300000X

NPI Details
NPI 1285044206
Enumeration Date 04/29/2014
Last Updated 04/29/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DAVID MATTHEW DAVID
Position OWNER
Phone (435) 654-2822
Fax
Practice Location
210 E MAIN ST STE 201
MIDWAY UT, 84049-6817, US
Phone (435) 654-2822
Fax
Business Location
210 E MAIN ST STE 201
MIDWAY UT, 84049-6817, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Utah
License Number 8006231-9922
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According to our database, Prince Dental Group Pllc NPI is 1285044206, taxonomy code is 122300000X and license number is 8006231-9922, license state is located at Utah. Prince Dental Group Pllc physically located at 210 E Main St Ste 201, Midway UT, 84049-6817. NPI Number 1033115704 has the healthcare provider type.

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1285044206 NPI number is provided on an as is basis without warranty of any kind. 1285044206 is maintained by the National Plan & Provider Enumeration System. The contents of Prince Dental Group Pllc are for informational purposes only.