Organization
WENDOVER DENTAL CARE PC
Active
Other names
Wendover Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED D HILL D.M.D. (OWNER / DENTIST)
(435) 665-2962
Entity
Organization
Contact information
Practice address
399 N ARIA BLVD, WENDOVER, UT 84083-0625
(435) 665-2962
(435) 665-7525
Mailing address
PO BOX 625, WENDOVER, UT 84083-0625
(435) 665-2962
(435) 665-7525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
324928
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205884657
—
UT
Enumeration date
06/20/2014
Last updated
06/20/2014
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