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1083010946
STONEHAVEN DENTAL - MAPLETON LLC
MAPLETON, UT
NPI
1083010946
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Entity Type
Organization
Authorized Contact
COREZ LOGAN
Credentialing Specialist
502-254-8500
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2014-11-05
Last Update Date
2014-11-05
Business Address
STONEHAVEN DENTAL - MAPLETON LLC
425 N MAIN ST
MAPLETON, UT 84664-3410
Phone number: 502-254-8500
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Mailing Address
STONEHAVEN DENTAL - MAPLETON LLC
425 N MAIN ST
MAPLETON, UT 84664-3410
Phone number:
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