| Stonehaven Dental - Mapleton Llc | |
|
425 N Main St Mapleton UT 84664-3410 | |
| (502) 254-8500 | |
| Not Available |
| Full Name | Stonehaven Dental - Mapleton Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 425 N Main St, Mapleton, Utah |
| Authorized Official Name and Position | Corez Logan (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonehaven Dental - Mapleton Llc 425 N Main St Mapleton UT 84664-3410 Ph: () - | Stonehaven Dental - Mapleton Llc 425 N Main St Mapleton UT 84664-3410 Ph: (502) 254-8500 |
| NPI Number | 1083010946 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 11/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083010946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Utah) | Primary |
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