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Organization
HAVEN DENTAL LLC
Active
Organization
HAVEN DENTAL LLC
Active
Other names
Haven Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CRAVEN DDS (OWNER/DENTIST)
(801) 786-0500
Entity
Organization
Contact information
Practice address
2685 N 1000 W, PLEASANT VIEW, UT 84414-2660
(435) 310-4562
Mailing address
2797 N HIGHWAY 89 STE 300, PLEASANT VIEW, UT 84404-1232
(801) 786-0500
(801) 786-0520
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528-391-112-007
—
UT
Enumeration date
04/17/2020
Last updated
04/28/2020
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