| Canyon Crest Dental Pc | |
|
1899 W Traverse Pkwy Ste B Lehi UT 84043-5995 | |
| (801) 597-4570 | |
| Not Available |
| Full Name | Canyon Crest Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1899 W Traverse Pkwy Ste B, Lehi, Utah |
| Authorized Official Name and Position | Geoffrey Grant (PRESIDENT) |
| Authorized Official Contact | 8015974570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Crest Dental Pc 1899 W Traverse Pkwy Ste B Lehi UT 84043-5995 Ph: () - | Canyon Crest Dental Pc 1899 W Traverse Pkwy Ste B Lehi UT 84043-5995 Ph: (801) 597-4570 |
| NPI Number | 1982123923 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 09/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982123923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9540983-9922 (Utah) | Primary |
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