COLLEGE DENTAL CLINIC LLC

OREM, UT
NPI1720465875
Entity TypeOrganization
Authorized ContactKENNETH MOLEN
Owner
801-426-0774
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: UT  9317729)
Enumeration Date2015-04-28
Last Update Date2015-04-28
Business Address
COLLEGE DENTAL CLINIC LLC
1176 S 1480 W
OREM, UT 84058-4905
Phone number: 801-426-0774
Mailing Address
COLLEGE DENTAL CLINIC LLC
1176 S 1480 W
OREM, UT 84058-4905
Phone number: 801-426-0774