Organization
HEBER PDC PLLC
Active
Other names
Back of the Wasatch
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA SHADE (REVENUE CYCLE MANAGER)
(801) 305-3460
Entity
Organization
Contact information
Practice address
321 W 1300 S STE 230, HEBER CITY, UT 84032-3145
(435) 201-8843
Mailing address
321 W 1300 S STE 230, HEBER CITY, UT 84032-3145
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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