Organization
MYERS FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL MYERS (MANAGER)
(435) 201-0347
Entity
Organization
Contact information
Practice address
110 S 100 E, CIRCLEVILLE, UT 84723
(435) 201-0347
Mailing address
PO BOX 164, CIRCLEVILLE, UT 84723-0164
(435) 201-0347
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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