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1902008048
CRESCENT DENTAL, INC.
TAYLORSVILLE, UT
NPI
1902008048
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Entity Type
Organization
Authorized Contact
SHANEEN J WINTCH
Owner
801-957-0130
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 4449)
Enumeration Date
2007-06-01
Last Update Date
2020-08-22
Business Address
CRESCENT DENTAL, INC.
5547 SO. 4015 W. SUITE 2
TAYLORSVILLE, UT 84118-4408
Phone number: 801-957-0130
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Mailing Address
CRESCENT DENTAL, INC.
5547 SO. 4015 W. SUITE 2
TAYLORSVILLE, UT 84118-4408
Phone number: 801-957-0130
Copy
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