Organization
CRESCENT DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANEEN J WINTCH (OWNER)
(801) 957-0130
Entity
Organization
Contact information
Practice address
5547 SO. 4015 W., SUITE 2, TAYLORSVILLE, UT 84118-4408
(801) 957-0130
Mailing address
5547 SO. 4015 W., SUITE 2, TAYLORSVILLE, UT 84118-4408
(801) 957-0130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4449
UT
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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