Organization
STONEHAVEN DENTAL - SPANISH FORK, LLC
Active
Other names
Stonehaven Dental - Spanish Fork, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF REIBEL (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
685 N 920 E, SPANISH FORK, UT 84660-1677
(502) 254-8500
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 254-8501
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2014
Last updated
09/05/2023
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