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1720572548
STONEHAVEN DENTAL - WEST VALLEY LLC
WEST VALLEY CITY, UT
NPI
1720572548
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Entity Type
Organization
Authorized Contact
JEFF REIBEL
CFO
502-254-8500
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2018-06-15
Last Update Date
2023-09-05
Business Address
STONEHAVEN DENTAL - WEST VALLEY LLC
4577 S 4000 W STE B
WEST VALLEY CITY, UT 84120-6222
Phone number: 502-254-8500
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Mailing Address
STONEHAVEN DENTAL - WEST VALLEY LLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number:
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