Organization
MILLCREEK PDC PLLC
Active
Other names
Reason to Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA SHADE (REVENUE CYCLE MANAGER)
(801) 305-3460
Entity
Organization
Contact information
Practice address
4110 S HIGHLAND DR STE 100A, MILLCREEK, UT 84124-2784
(801) 506-6354
Mailing address
PO BOX 970681, OREM, UT 84097-0681
(801) 506-6354
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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