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Organization
REDWOOD DENTAL PDC PLLC
Active
Organization
REDWOOD DENTAL PDC PLLC
Active
Other names
Redwood Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA LARSEN (REVENUE CYCLE MANAGEMENT)
(801) 305-3460
Entity
Organization
Contact information
Practice address
271 N SPRING CREEK PKWY STE D, PROVIDENCE, UT 84332-9875
(435) 755-6562
(435) 755-6797
Mailing address
PO BOX 970652, OREM, UT 84097-0652
(435) 755-6562
(435) 755-6797
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
02/16/2023
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