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Organization
HEBER PDC PLLC
Active
Organization
HEBER PDC PLLC
Active
Other names
Back of the Wasatch
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA SHADE (REVENUE CYCLE MANAGER)
(801) 305-3460
Entity
Organization
Contact information
Practice address
321 W 1300 S STE 230, HEBER CITY, UT 84032-3145
(435) 201-8843
Mailing address
321 W 1300 S STE 230, HEBER CITY, UT 84032-3145
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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