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Organization
MIDVALE PDC PLLC
Active
Organization
MIDVALE PDC PLLC
Active
Other names
Morgan and Presley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA SHADE (REVENUE CYCLE MANAGER)
(801) 305-3460
Entity
Organization
Contact information
Practice address
204 E FORT UNION BLVD STE 102, MIDVALE, UT 84047-5645
(801) 561-9999
Mailing address
PO BOX 970324, OREM, UT 84097-0324
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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