Redwood Dental

NPI #1033574975 in Providence, Utah

Provider Information

NPI Number: 1033574975
Entity Type: Organization
Organization Name: Redwood Dental
Primary Specialty: Dentist
Enumeration Date: Dec 18, 2015
Last Updated: Jan 8, 2016

Practice Location

Address: 271 N SPRING CREEK PKWY
Address 2: SUITE D
City: Providence
State: Utah
ZIP Code: 84332-9875
Phone: (435) 755-6562

Authorized Official

Name: MRS. NECOLE WALTON
Title: OWNER
Phone: (435) 755-6562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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