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Organization

LAKE MOUNTAIN DENTAL EAGLE MOUNTAIN LLC

Active
Other names
Lake Mountain Dental
Organization subpart
No

Provider details

NPI number
Authorized official
CADEN CADEN (ADMIN)
(801) 830-4486
Entity
Organization

Contact information

Practice address
4342 E PONY EXPRESS PKWY STE 100, EAGLE MOUNTAIN, UT 84005-5773
(801) 830-4486
Mailing address
4342 E PONY EXPRESS PKWY STE 100, EAGLE MOUNTAIN, UT 84005-5773

Taxonomy

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

Other

Enumeration date
06/14/2023
Last updated
06/14/2023
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