Organization
YOUNGFAMILYDENTALAF
Active
Parent organization
YOUNG FAMILY DENTAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUNG FAMILY DENTAL INC
Authorized official
SUSAN J. JOHN (OFFICE MANAGER)
(801) 756-7173
Entity
Organization
Contact information
Practice address
483 E 200 S, AMERICAN FORK, UT 84003-2503
(801) 756-7173
(801) 756-4577
Mailing address
483 E 200 S, AMERICAN FORK, UT 84003-6279
(801) 756-7173
(801) 756-4577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4766943-9922
UT
Other
Enumeration date
02/12/2007
Last updated
03/24/2017
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