Organization
CHERRY CREEK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTE LAMAR CARLSON DDS (DENTIST)
(435) 258-2301
Entity
Organization
Contact information
Practice address
105 S 200 W, RICHMOND, UT 84333-1278
(435) 258-2301
(435) 258-5521
Mailing address
105 S 200 W, RICHMOND, UT 84333-1278
(435) 258-2301
(435) 258-5521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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