Organization
BAER CANYON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY A THOMAS (OFFICE MANAGER HYGIENIST)
(801) 544-9444
Entity
Organization
Contact information
Practice address
275 NORTH 300 WEST, SUITE #404, KAYSVILLE, UT 84037
(801) 544-9444
(801) 544-9443
Mailing address
275 NORTH 300 WEST, SUITE #404, KAYSVILLE, UT 84037
(801) 544-9444
(801) 544-9443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4936704 9922
UT
Other
Enumeration date
09/06/2006
Last updated
03/05/2009
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