| Stonehaven Dental - West Valley Llc | |
|
4577 S 4000 W Ste B West Valley City UT 84120-6222 | |
| (502) 254-8500 | |
| Not Available |
| Full Name | Stonehaven Dental - West Valley Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4577 S 4000 W Ste B, West Valley City, Utah |
| Authorized Official Name and Position | Jeff Reibel (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonehaven Dental - West Valley Llc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Stonehaven Dental - West Valley Llc 4577 S 4000 W Ste B West Valley City UT 84120-6222 Ph: (502) 254-8500 |
| NPI Number | 1720572548 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720572548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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