CANYON RIVER DENTAL

PROVO, UT
NPI1821196197
Entity TypeOrganization
Authorized ContactRYAN T MANGRUM
Dentist
801-221-5859
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  3124349922)
Enumeration Date2006-09-20
Last Update Date2020-08-22
Business Address
CANYON RIVER DENTAL
3707 N CANYON RD SUITE 7D
PROVO, UT 84604
Phone number: 801-221-5859
Mailing Address
CANYON RIVER DENTAL
3707 N CANYON RD SUITE 7D
PROVO, UT 84604
Phone number: 801-221-5859
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