Organization
STONEHAVEN DENTAL - MIDVALE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
7681 S 700 E, MIDVALE, UT 84047-2350
(385) 385-5570
(385) 385-3511
Mailing address
7681 S 700 E, MIDVALE, UT 84047-2350
(385) 557-0088
(385) 351-1558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/14/2017
Last updated
01/17/2017
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