Larell C. Van Dyke, D.D.S.

NPI #1114961620 in Pleasant Grove, Utah

Provider Information

NPI Number
1114961620
Entity Type
Individual
Name
Larell C. Van Dyke, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
610 LOADER DR
State
Utah
ZIP Code
84062-3116
Phone
(801) 785-7024

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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