Organization
AA DENTAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABBY RANDALL (BUSINESS MANAGER)
(801) 796-3535
Entity
Organization
Contact information
Practice address
597 S PLEASANT GROVE BLVD STE 12, PLEASANT GROVE, UT 84062-3070
(801) 796-3535
(801) 796-0303
Mailing address
597 S PLEASANT GROVE BLVD STE 12, PLEASANT GROVE, UT 84062-3070
(801) 796-3535
(801) 796-0303
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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