NINTH EAST DENTAL

PROVO, UT
NPI1902470198
Entity TypeOrganization
Authorized ContactFAITH GASKINS
Director Of Credentialing
972-869-3789
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2021-05-13
Last Update Date2022-09-29
Business Address
NINTH EAST DENTAL
1234 N 900 E STE 100
PROVO, UT 84604-2726
Phone number: 801-854-9140
Mailing Address
NINTH EAST DENTAL
1234 N 900 E STE 100
PROVO, UT 84604-2726
Phone number: 801-854-9140
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