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Organization

SEVIER VALLEY DENTAL

Active
Other names
Forever Young Dental
Organization subpart
No

Provider details

NPI number
Authorized official
TODD PAUL LEE DDS (DENTIST/OWNER)
(435) 893-2190
Entity
Organization

Contact information

Practice address
46 W 100 N, RICHFIELD, UT 84701-2530
(435) 893-2190
(435) 893-2191
Mailing address
46 W 100 N, RICHFIELD, UT 84701-2530
(435) 893-2190
(435) 893-2191

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
322871-9923
UT

Other

Enumeration date
08/18/2016
Last updated
08/18/2016
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