Organization
ADVANCED FAMILY DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINDY SMITH (PRESIDENT)
(435) 867-0644
Entity
Organization
Contact information
Practice address
415 N MAIN, SUITE 203, CEDAR CITY, UT 84720
(435) 867-0644
(435) 867-0645
Mailing address
415 N MAIN, SUITE 203, CEDAR CITY, UT 84721
(435) 867-0644
(435) 867-0645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6259409921
UT
Other
Enumeration date
08/30/2006
Last updated
02/03/2009
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