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Organization

MODERN DENTAL PROFESSIONALS - UTAH, PC

Active
Other names
Monarch Dental - West Valley
Organization subpart
No

Provider details

NPI number
Authorized official
LILIANA MARTINEZ (CREDENTIALING DIRECTOR)
(949) 308-9792
Entity
Organization

Contact information

Practice address
4645 S 4000 W STE B, WEST VALLEY, UT 84120-6250
(801) 955-1900
(801) 955-8300
Mailing address
4645 S 4000 W STE B, WEST VALLEY, UT 84120-6250
(801) 955-1900

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
11/19/2014
Last updated
04/08/2024
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