CANYON RIVER DENTAL

PROVO, UT
NPI1306277546
Entity TypeOrganization
Authorized ContactMARK C LOMENICK
CFO
801-221-5859
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2013-12-12
Last Update Date2013-12-12
Business Address
CANYON RIVER DENTAL
3707 N CANYON RD SUITE 7D
PROVO, UT 84604-4592
Phone number: 801-221-5859
Mailing Address
CANYON RIVER DENTAL
3707 N CANYON RD SUITE 7D
PROVO, UT 84604-4592
Phone number: 801-221-5859
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