Organization
TRAVERSE MOUNTAIN FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT F STAPLEY DDS (OWNER/DOCTOR)
(801) 852-8211
Entity
Organization
Contact information
Practice address
3940 TRAVERSE MOUNTAIN BLVD, SUITE 102, LEHI, UT 84043-4914
(801) 852-8211
(801) 901-1923
Mailing address
3940 TRAVERSE MOUNTAIN BLVD, SUITE 102, LEHI, UT 84043-4914
(801) 852-8211
(801) 901-1923
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8291219
UT
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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