| Baer Canyon Dental Llc | |
|
275 North 300 West Suite #404 Kaysville UT 84037 | |
| (801) 544-9444 | |
| (801) 544-9443 |
| Full Name | Baer Canyon Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 275 North 300 West, Kaysville, Utah |
| Authorized Official Name and Position | Stacey A Thomas (OFFICE MANAGER HYGIENIST) |
| Authorized Official Contact | 8015449444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baer Canyon Dental Llc 275 North 300 West Suite #404 Kaysville UT 84037 Ph: (801) 544-9444 | Baer Canyon Dental Llc 275 North 300 West Suite #404 Kaysville UT 84037 Ph: (801) 544-9444 |
| NPI Number | 1174626345 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 03/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174626345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4936704 9922 (Utah) | Primary |
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