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1720465875
COLLEGE DENTAL CLINIC LLC
OREM, UT
NPI
1720465875
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Entity Type
Organization
Authorized Contact
KENNETH MOLEN
Owner
801-426-0774
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: UT 9317729)
Enumeration Date
2015-04-28
Last Update Date
2015-04-28
Business Address
COLLEGE DENTAL CLINIC LLC
1176 S 1480 W
OREM, UT 84058-4905
Phone number: 801-426-0774
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Mailing Address
COLLEGE DENTAL CLINIC LLC
1176 S 1480 W
OREM, UT 84058-4905
Phone number: 801-426-0774
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