| Mountain Vista Dental Care | |
|
539 N Harrisville Rd Suite F Harrisville UT 84404-3560 | |
| (801) 786-0700 | |
| (801) 340-5025 |
| Full Name | Mountain Vista Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 539 N Harrisville Rd, Harrisville, Utah |
| Authorized Official Name and Position | Daniel Ryan Mcconkie (MANAGER) |
| Authorized Official Contact | 8017860700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Vista Dental Care 539 N Harrisville Rd Suite F Harrisville UT 84404-3560 Ph: (801) 786-0700 | Mountain Vista Dental Care 539 N Harrisville Rd Suite F Harrisville UT 84404-3560 Ph: (801) 786-0700 |
| NPI Number | 1710292339 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 08/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710292339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5167801 (Utah) | Primary |