Genesis Dental of Magna, LLC

NPI #1245588508 in Magna, Utah

Provider Information

NPI Number: 1245588508
Entity Type: Organization
Organization Name: Genesis Dental of Magna, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 16, 2012
Last Updated: Mar 26, 2024

Practice Location

Address: 3665 S 8400 W
Address 2: SUITE 250
City: Magna
State: Utah
ZIP Code: 84044-4907
Phone: (801) 250-0450

Authorized Official

Name: MR. JASON D CASTO
Title: MEMBER/OWNER
Phone: (801) 870-0625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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