Organization
CM DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE PETERSON (OFFICE MANAGER)
(801) 636-5792
Entity
Organization
Contact information
Practice address
10 E STATE ST STE 1, LEHI, UT 84043-1624
(801) 766-3700
Mailing address
10 E STATE ST STE 1, LEHI, UT 84043-1624
(801) 766-3700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/09/2023
Last updated
02/21/2025
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