Organization
PRINCE DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MATTHEW PRINCE (OWNER)
(435) 654-2822
Entity
Organization
Contact information
Practice address
210 E MAIN ST STE 201, MIDWAY, UT 84049-6817
(435) 654-2822
Mailing address
210 E MAIN ST STE 201, MIDWAY, UT 84049-6817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5923720
UT
122300000X
Dentist
8006231-9922
UT
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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