| Canyon Dental Clinic P.c. | |
|
665 E 300 S Spanish Fork UT 84660-2211 | |
| (801) 798-8496 | |
| (801) 798-1584 |
| Full Name | Canyon Dental Clinic P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 665 E 300 S, Spanish Fork, Utah |
| Authorized Official Name and Position | William C Davis (OWNER) |
| Authorized Official Contact | 8017988496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Dental Clinic P.c. 665 E 300 S Spanish Fork UT 84660-2211 Ph: (801) 798-8496 | Canyon Dental Clinic P.c. 665 E 300 S Spanish Fork UT 84660-2211 Ph: (801) 798-8496 |
| NPI Number | 1992014435 |
|---|---|
| Provider Enumeration Date | 10/01/2010 |
| Last Update Date | 10/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992014435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 145709 (Utah) | Primary |
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