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Organization

KDST DENTAL

Active
Parent organization
KDST DENTAL
Other names
Brite Family Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
KDST DENTAL
Authorized official
DR. SCOTT A. TRACY DDS (MANAGER, MEMBER)
(801) 756-0933
Entity
Organization

Contact information

Practice address
291 N 300 E STE B, AMERICAN FORK, UT 84003-1881
(801) 756-0933
Mailing address
291 N 300 E STE B, AMERICAN FORK, UT 84003-1881
(801) 756-0933

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/05/2021
Last updated
10/05/2021
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