Organization
PAYSON FAMILY AND COSMETIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN S CAHOON DDS, MBA (MANAGER)
(801) 560-9757
Entity
Organization
Contact information
Practice address
107 S 500 W, PAYSON, UT 84651-2029
(801) 465-7966
(801) 303-7055
Mailing address
2754 SAINT MARYS WAY, SALT LAKE CITY, UT 84108-2040
(801) 560-9757
(801) 303-7055
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1399149922
UT
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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