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Organization
MILLCREEK PDC PLLC
Active
Organization
MILLCREEK PDC PLLC
Active
Other names
Reason to Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA SHADE (REVENUE CYCLE MANAGER)
(801) 305-3460
Entity
Organization
Contact information
Practice address
4110 S HIGHLAND DR STE 100A, MILLCREEK, UT 84124-2784
(801) 506-6354
Mailing address
PO BOX 970681, OREM, UT 84097-0681
(801) 506-6354
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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