104 WEST DENTAL LLC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1255294765- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 104 W 200 S, BRIGHAM CITY, UT, 843022506
- Phone
- (435) 734-2394
- Fax
- (435) 734-0117
Specialties & Taxonomies
Dentist, General Practice
Primary