Woodland Dental

NPI 1063713444 - Dentist - 1223G0001X

NPI Details
NPI 1063713444
Enumeration Date 11/16/2010
Last Updated 11/16/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DAVID KENT DAVID
Position OWNER/DENTIST
Phone (801) 423-0905
Fax
Practice Location
204 E 400 N STE A
SALEM UT, 84653-9320, US
Phone (801) 423-0905
Fax
Business Location
204 E 400 N STE A
SALEM UT, 84653-9320, US
Phone (801) 423-0905
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Utah
License Number 6598211
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According to our database, Woodland Dental NPI is 1063713444, taxonomy code is 1223G0001X and license number is 6598211, license state is located at Utah. Woodland Dental physically located at 204 E 400 N Ste A, Salem UT, 84653-9320. NPI Number 1033115704 has the healthcare provider type.

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1063713444 NPI number is provided on an as is basis without warranty of any kind. 1063713444 is maintained by the National Plan & Provider Enumeration System. The contents of Woodland Dental are for informational purposes only.