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Organization

MODERN DENTAL PROFESSIONALS - UTAH, PC

Active
Other names
Monarch Dental - Taylorsville
Organization subpart
No

Provider details

NPI number
Authorized official
LILIANA MARTINEZ (CREDENTIALING DIRECTOR)
(949) 308-9792
Entity
Organization

Contact information

Practice address
5419 S REDWOOD RD STE 2, TAYLORSVILLE, UT 84123-6957
(801) 263-6400
(801) 294-8551
Mailing address
8415 DATAPOINT DR STE 1020, SAN ANTONIO, TX 78229-3277
(210) 929-2814
(210) 615-3626

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
11/19/2014
Last updated
04/08/2024
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