Organization
MAPLE MOUNTAIN DENTAL PLLC DBA MAPLE MOUNTAIN DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA WESTMORELAND (DDS)
(801) 491-8191
Entity
Organization
Contact information
Practice address
425 N MAIN ST, MAPLETON, UT 84664-3410
(801) 491-8191
(801) 491-4912
Mailing address
425 N MAIN ST, MAPLETON, UT 84664-3410
(801) 491-8191
(801) 491-4912
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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