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Organization

MAIN PLAZA DENTAL

Active
Other names
Jared W. Hemmert
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AVERY LYNN BRERETON (OFFICE MANAGER)
(801) 794-9684
Entity
Organization

Contact information

Practice address
312 N MAIN ST, SPANISH FORK, UT 84660-1735
(801) 794-9684
(801) 798-9474
Mailing address
312 N MAIN ST, SPANISH FORK, UT 84660-1735
(801) 794-9684
(801) 798-9474

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5346167
UT
122300000X
Dentist
6947302
UT

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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