Organization
RESTFULLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYSON LEMONE DDS (OWNER)
(702) 610-5708
Entity
Organization
Contact information
Practice address
1344 S 800 E STE 200, OREM, UT 84097-7730
(702) 610-5708
Mailing address
4344 STAFFORD CT, PROVO, UT 84604-5559
(702) 610-5708
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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