| Modern Dental Professionals - Utah, Pc | |
|
476 N 900 W Ste A American Fork UT 84003-5200 | |
| (801) 756-5522 | |
| (801) 758-8499 |
| Full Name | Modern Dental Professionals - Utah, Pc |
|---|---|
| Speciality | Dentist |
| Location | 476 N 900 W Ste A, American Fork, Utah |
| Authorized Official Name and Position | Liliana Martinez (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 9493089792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Professionals - Utah, Pc 476 N 900 W Ste A American Fork UT 84003-5200 Ph: (801) 756-5522 | Modern Dental Professionals - Utah, Pc 476 N 900 W Ste A American Fork UT 84003-5200 Ph: (801) 756-5522 |
| NPI Number | 1740687706 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740687706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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