CELESTE C MORTENSON PC

PROVIDENCE, UT
NPI1376035196
Entity TypeOrganization
Authorized ContactCELESTE C MORTENSON
Owner, President
435-512-0133
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2018-06-06
Last Update Date2018-06-06
Business Address
CELESTE C MORTENSON PC
169 N GATEWAY DR STE 175
PROVIDENCE, UT 84332-9825
Phone number: 435-752-0605
Mailing Address
CELESTE C MORTENSON PC
361 EDGEHILL DR
PROVIDENCE, UT 84332-9426
Phone number: 435-512-0133