Msg Dental LLC

NPI #1255769147 in Provo, Utah

Provider Information

NPI Number: 1255769147
Entity Type: Organization
Organization Name: Msg Dental LLC
Primary Specialty: Dentist
Enumeration Date: Oct 31, 2013
Last Updated: Jul 21, 2022

Practice Location

Address: 835 N 700 E
City: Provo
State: Utah
ZIP Code: 84606
Phone: (801) 373-7700

Authorized Official

Name: DR. TODD C GROESBECK, DMD
Title: OWNER
Phone: (801) 373-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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