Organization
SPRINGVILLE ORAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY N PAVICK (SR. OPERATIONS MANAGER)
(801) 857-7947
Entity
Organization
Contact information
Practice address
269 E 400 S, SPRINGVILLE, UT 84663-1900
(801) 704-5432
(801) 704-5431
Mailing address
269 E 400 S, SPRINGVILLE, UT 84663-1900
(801) 704-5432
(801) 704-5431
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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