Organization
REDWOOD DENTAL PDC PLLC
Active
Other names
Redwood Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA LARSEN (REVENUE CYCLE MANAGEMENT)
(801) 305-3460
Entity
Organization
Contact information
Practice address
271 N SPRING CREEK PKWY STE D, PROVIDENCE, UT 84332-9875
(435) 755-6562
(435) 755-6797
Mailing address
PO BOX 970652, OREM, UT 84097-0652
(435) 755-6562
(435) 755-6797
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
02/16/2023
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