Organization
CASCADE FAMILY DENTAL
Active
Other names
Aspen Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M BAIRD M.D. (OWNER)
(801) 491-6920
Entity
Organization
Contact information
Practice address
1795 W 500 S, SUITE #B2, SPRINGVILLE, UT 84663-3186
(801) 491-6920
Mailing address
1795 W 500 S, SUITE #B2, SPRINGVILLE, UT 84663-3186
(801) 491-6920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6466262-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962682583
—
UT
Enumeration date
06/02/2010
Last updated
04/18/2011
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