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Organization
PLEASANT VALLEY DENTAL AND SLEEP CENTER
Active
Organization
PLEASANT VALLEY DENTAL AND SLEEP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADY PAUL POWELL D.D.S. (OWNER)
(801) 621-3383
Entity
Organization
Contact information
Practice address
5742 ADAMS AVE PKWY, WASHINGTON TERRACE, UT 84405-7157
(801) 621-3383
Mailing address
5742 ADAMS AVE PKWY, WASHINGTON TERRACE, UT 84405-7157
(801) 621-3383
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
294898-9922
UT
261QD0000X
Dental Clinic/Center
Primary
7698732-9923
UT
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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