Organization
CANYON DENTAL CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C DAVIS IV DMD (OWNER)
(801) 798-8496
Entity
Organization
Contact information
Practice address
665 E 300 S, SPANISH FORK, UT 84660-2211
(801) 798-8496
(801) 798-1584
Mailing address
665 E 300 S, SPANISH FORK, UT 84660-2211
(801) 798-8496
(801) 798-1584
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
145709
UT
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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