Organization · Type 2 NPI
Payson Family and Cosmetic Dentistry, LLC
Dental Clinic/Center · Payson, UT
NPI number
1588964340
Active
Practice location
107 S 500 W
Payson, UT 84651-2029
Fax (801) 303-7055
Mailing address
2754 Saint Marys Way
Salt Lake City, UT 84108-2040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 1399149922 (UT) |
Dental Clinic/Center: Definition to come...
4 other providers at this address
Other dental clinic/center providers in Payson
About NPI 1588964340
Payson Family and Cosmetic Dentistry, LLC's National Provider Identifier is 1588964340, issued on Oct 27, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Payson, UT. The record was last updated on Oct 27, 2010.