Organization
WEST VALLEY DENTAL GROUP INC
Active
Other names
Mtn View Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT O BOYER DDS MAGD (PRESIDENT)
(801) 969-8200
Entity
Organization
Contact information
Practice address
6783 REDWOOD RD, SUITE 201, WEST JORDAN, UT 84084-2404
(801) 969-8200
(801) 261-8280
Mailing address
6783 REDWOOD RD, SUITE 201, WEST JORDAN, UT 84084-2404
(801) 969-8200
(801) 261-8280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
130519
UT
1223G0001X
General Practice Dentistry
135611
UT
1223G0001X
General Practice Dentistry
142863
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
130519
UT
Other
Enumeration date
08/21/2006
Last updated
01/29/2010
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