Organization
MOUNTAIN RIDGE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA DELAHUNT (OWNER/MANAGER)
(801) 224-7182
Entity
Organization
Contact information
Practice address
1256 S STATE ST, SUITE 103, OREM, UT 84097-8237
(801) 224-7182
(801) 235-0835
Mailing address
1256 S STATE ST, SUITE 103, OREM, UT 84097-8237
(801) 224-7182
(801) 235-0835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/10/2006
Last updated
08/22/2020
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