Organization
REDWOOD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NECOLE WALTON (OWNER)
(435) 755-6562
Entity
Organization
Contact information
Practice address
271 N SPRING CREEK PKWY, SUITE D, PROVIDENCE, UT 84332-9875
(435) 755-6562
Mailing address
271 N SPRING CREEK PKWY, SUITE D, PROVIDENCE, UT 84332-9875
(435) 755-6562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59278898903
UT
Other
Enumeration date
12/18/2015
Last updated
01/08/2016
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