Organization
PLEASANT VALLEY DENTAL AND SLEEP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADY PAUL POWELL D.D.S. (OWNER)
(801) 621-3383
Entity
Organization
Contact information
Practice address
5742 ADAMS AVE PKWY, WASHINGTON TERRACE, UT 84405-7157
(801) 621-3383
Mailing address
5742 ADAMS AVE PKWY, WASHINGTON TERRACE, UT 84405-7157
(801) 621-3383
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
294898-9922
UT
261QD0000X
Dental Clinic/Center
Primary
7698732-9923
UT
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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