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Organization

HART DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN RICHARD HART D.D.S. (DENTIST)
(801) 789-7500
Entity
Organization

Contact information

Practice address
3566 PONY EXPRESS PKWY, ST #1, EAGLE MOUNTAIN, UT 84005-6018
(801) 789-7500
(801) 789-7788
Mailing address
3566 PONY EXPRESS PKWY, ST #1, EAGLE MOUNTAIN, UT 84005-6018

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
7729107-9921
UT
1223G0001X
General Practice Dentistry
Primary
6248077-9922
UT

Other

Enumeration date
03/22/2012
Last updated
03/22/2012
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