Organization
DENTAL CENTER OF ST. GEORGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE IMLAY (OWNER)
(435) 673-4809
Entity
Organization
Contact information
Practice address
321 N MALL DR, #P101, ST GEORGE, UT 84790-7302
(435) 673-4809
(435) 628-5939
Mailing address
321 N MALL DR, #P101, ST GEORGE, UT 84790-7302
(435) 673-4809
(435) 628-5939
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0035640
UT
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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