Stonehaven Dental - Orem, LLC

NPI #1073924098 in Orem, Utah

Provider Information

NPI Number: 1073924098
Entity Type: Organization
Organization Name: Stonehaven Dental - Orem, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 13, 2014
Last Updated: May 13, 2014

Practice Location

Address: 1802 N STATE ST
City: Orem
State: Utah
ZIP Code: 84057-2027
Phone: (801) 766-3600

Authorized Official

Name: STEVE JAMES
Title: CFO
Phone: (502) 254-8504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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