Organization
JEREL D. HILL D.D.S. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREL DENZIL HILL D.D.S. (OWNER)
(801) 225-7110
Entity
Organization
Contact information
Practice address
205 N STATE ST, OREM, UT 84057-4745
(801) 225-7110
(801) 225-4001
Mailing address
205 N STATE ST, OREM, UT 84057-4745
(801) 225-7110
(801) 225-4001
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
136284
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528748117000
—
UT
Enumeration date
05/18/2011
Last updated
05/18/2011
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