Organization
GREENWOOD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE MAX GREENWOOD DDS (DENTIST/OWNER)
(801) 756-6037
Entity
Organization
Contact information
Practice address
226 N 1100 E, SUITE D, AMERICAN FORK, UT 84003-2054
(801) 756-6037
(801) 756-6088
Mailing address
226 N 1100 E, SUITE D, AMERICAN FORK, UT 84003-2054
(801) 756-6037
(801) 756-6088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
136489
UT
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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