BASIN FAMILY DENTISTRY, PC

ROOSEVELT, UT
NPI1306901566
Former Legal Business NameGREGORY G. PAGE, DDS, PC
Entity TypeOrganization
Authorized ContactGREGORY GEORGE PAGE
President
435-722-2111
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  142333-9922)
Enumeration Date2006-12-27
Last Update Date2013-09-17
Business Address
BASIN FAMILY DENTISTRY, PC
209 W 200 N 71-2
ROOSEVELT, UT 84066-2835
Phone number: 435-722-2111
Mailing Address
BASIN FAMILY DENTISTRY, PC
209 W 200 N 71-2
ROOSEVELT, UT 84066-2835
Phone number: 435-722-2111