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Organization
PINNACLE DENTAL PARTNERS
Active
Organization
PINNACLE DENTAL PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TANUVASA (PRESIDENT)
(385) 216-4421
Entity
Organization
Contact information
Practice address
209 W 200 N, ROOSEVELT, UT 84066-2835
(435) 722-2111
Mailing address
516 W PALO VERDE WAY, IVINS, UT 84738-1207
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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