Organization
ICON DENTISTRY OF UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAUNA MAUGHAN (OWNER/MANAGER)
(801) 318-8520
Entity
Organization
Contact information
Practice address
819 N 900 W, OREM, UT 84057-7701
(801) 318-8520
Mailing address
819 N 900 W, OREM, UT 84057-7701
(801) 318-8520
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
292200000X
Dental Laboratory
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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