104 WEST DENTAL LLC

BRIGHAM CITY, UT
NPI1255294765
Entity TypeOrganization
Authorized ContactDANIEL NELSON
Member
435-734-2394
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2025-12-03
Last Update Date2025-12-03
Business Address
104 WEST DENTAL LLC
104 W 200 S
BRIGHAM CITY, UT 84302-2506
Phone number: 435-734-2394
Mailing Address
104 WEST DENTAL LLC
104 W 200 S
BRIGHAM CITY, UT 84302-2506
Phone number: 435-734-2394
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