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1306088836
CANYON RIVER DENTAL
PROVO, UT
NPI
1306088836
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Entity Type
Organization
Authorized Contact
TRACI M FRANC
Manager
801-221-5859
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: UT 312434)
Enumeration Date
2009-03-30
Last Update Date
2009-03-30
Business Address
CANYON RIVER DENTAL
3707 N CANYON RD STE 7D
PROVO, UT 84604-4586
Phone number: 801-221-5859
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Mailing Address
CANYON RIVER DENTAL
3707 N CANYON RD STE 7D
PROVO, UT 84604-4586
Phone number: 801-221-5859
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