Organization
ASHMAN DENTAL L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER ASHMAN D.M.D. (OWMER)
(801) 373-6928
Entity
Organization
Contact information
Practice address
1355 N UNIVERSITY AVE STE 300, PROVO, UT 84604-2721
(801) 373-6928
(801) 377-2777
Mailing address
1355 N UNIVERSITY AVE STE 300, PROVO, UT 84604-2721
(801) 373-6928
(801) 377-2777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
128884
UT
1223G0001X
General Practice Dentistry
264214
UT
Other
Enumeration date
09/16/2006
Last updated
08/22/2020
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