Organization
HORIZON DENTAL OF TAYLORSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E KASE PEERY (PRESIDENT)
(801) 561-8490
Entity
Organization
Contact information
Practice address
2195 W 5400 S, #203, TAYLORSVILLE, UT 84118-1431
(801) 969-6740
(801) 955-5788
Mailing address
2195 W 5400 S, #203, TAYLORSVILLE, UT 84118-1431
(801) 969-6740
(801) 955-5788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5999717
UT
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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