Organization
MODERN DENTAL PROFESSIONALS - UTAH, PC
Active
Other names
Monarch Dental - American Fork
Organization subpart
No
Provider details
NPI number
Authorized official
LILIANA MARTINEZ (CREDENTIALING DIRECTOR)
(949) 308-9792
Entity
Organization
Contact information
Practice address
476 N 900 W STE A, AMERICAN FORK, UT 84003-5200
(801) 756-5522
(801) 758-8499
Mailing address
476 N 900 W STE A, AMERICAN FORK, UT 84003-5200
(801) 756-5522
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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