Organization · Type 2 NPI
Canyon River Dental
Dental Clinic/Center · Provo, UT
NPI number
1306088836
Active
Practice location
3707 N Canyon Rd Ste 7D
Provo, UT 84604-4586
Fax (801) 221-7091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 312434 (UT) |
Dental Clinic/Center: Definition to come...
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About NPI 1306088836
Canyon River Dental's National Provider Identifier is 1306088836, issued on Mar 30, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Provo, UT. The record was last updated on Mar 30, 2009.