| NPI | 1922411321 |
|---|---|
| Doing Business As | STONEHAVEN DENTAL - SPANISH FORK, LLC |
| Entity Type | Organization |
| Authorized Contact | JEFF REIBEL CFO 502-254-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2023-09-05 |