Organization
LEHI ORAL SURGERY PC
Active
Other names
Lehi Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GRIGG BSN, RN (REGIONAL LEADER)
(580) 695-6280
Entity
Organization
Contact information
Practice address
2961 W MAPLE LOOP DR STE 130, LEHI, UT 84043-5717
(580) 695-6280
Mailing address
2961 W MAPLE LOOP DR STE 130, LEHI, UT 84043-5717
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10226558-9924
UT
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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