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Organization

MDG - NEPHI DENTAL, LLC

Active
Other names
Bear Canyon Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARLEY LEANN HERRICK (ATTORNEY)
(801) 726-6836
Entity
Organization

Contact information

Practice address
490 N MAIN ST, NEPHI, UT 84648-1102
(435) 623-1918
Mailing address
490 N MAIN ST, NEPHI, UT 84648-1102
(435) 623-1918

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/12/2023
Last updated
05/12/2023
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