| Kanab Dental Center | |
|
181 W Center St Kanab UT 84741-3417 | |
| (465) 644-2211 | |
| (435) 644-2206 |
| Full Name | Kanab Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 181 W Center St, Kanab, Utah |
| Authorized Official Name and Position | Peter V Banks (OWNER) |
| Authorized Official Contact | 4356442211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kanab Dental Center 181 W Center St Kanab UT 84741-3417 Ph: (465) 644-2211 | Kanab Dental Center 181 W Center St Kanab UT 84741-3417 Ph: (465) 644-2211 |
| NPI Number | 1306194618 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 08/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306194618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 83383469922 (Utah) | Primary |