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Organization

UTAH DENTAL HEALTH PROFESSIONALS, P.C.

Active
Parent organization
UTAH DENTAL HEALTH PROFESSIONALS, P.C.
Other names
Lake Mountain Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
UTAH DENTAL HEALTH PROFESSIONALS, P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization

Contact information

Practice address
4342 E PONY EXPRESS PKWY STE 100, EAGLE MOUNTAIN, UT 84005-5773
(505) 947-4253
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
03/25/2024
Last updated
03/25/2024
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