Organization
BASIN FAMILY DENTISTRY, PC
Active
Other names
Gregory G. Page, DDS, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY GEORGE PAGE DDS (PRESIDENT)
(435) 722-2111
Entity
Organization
Contact information
Practice address
209 W 200 N, 71-2, ROOSEVELT, UT 84066-2835
(435) 722-2111
(435) 722-2005
Mailing address
209 W 200 N, 71-2, ROOSEVELT, UT 84066-2835
(435) 722-2111
(435) 722-2005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
142333-9922
UT
Other
Enumeration date
12/27/2006
Last updated
09/17/2013
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