Organization
I SMILE IMPLANT CENTERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA LEE JOHNSON (INSURANCE COORDINATOR)
(801) 355-2202
Entity
Organization
Contact information
Practice address
306 N MAIN ST, KAYSVILLE, UT 84037-6766
(801) 879-2343
(801) 660-6776
Mailing address
306 N MAIN ST, KAYSVILLE, UT 84037-6766
(801) 879-2343
(801) 660-6776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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