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1114961620
LARELL C. VAN DYKE
PLEASANT GROVE, UT
NPI
1114961620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 133101-9921)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
-- LARELL C. VAN DYKE D.D.S.
610 LOADER DR
PLEASANT GROVE, UT 84062-3116
Phone number: 801-785-7024
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Mailing Address
-- LARELL C. VAN DYKE D.D.S.
PO BOX 1079
PLEASANT GROVE, UT 84062-1079
Phone number: 801-785-7024
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