Organization
COPPERVIEW DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS B LAFEBER DMD (OWNER)
(801) 566-0660
Entity
Organization
Contact information
Practice address
1909 W 4700 S, TAYLORSVILLE, UT 84118-1105
(801) 398-9548
Mailing address
1909 W 4700 S, TAYLORSVILLE, UT 84118-1105
(801) 398-9548
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
320562
UT
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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