Organization
MIDVALE PDC PLLC
Active
Other names
Morgan and Presley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA SHADE (REVENUE CYCLE MANAGER)
(801) 305-3460
Entity
Organization
Contact information
Practice address
204 E FORT UNION BLVD STE 102, MIDVALE, UT 84047-5645
(801) 561-9999
Mailing address
PO BOX 970324, OREM, UT 84097-0324
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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