Prince Dental Group Pllc

NPI #1285044206 in Midway, Utah

Provider Information

NPI Number: 1285044206
Entity Type: Organization
Organization Name: Prince Dental Group Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 29, 2014
Last Updated: Apr 29, 2014

Practice Location

Address: 210 E MAIN ST STE 201
City: Midway
State: Utah
ZIP Code: 84049-6817
Phone: (435) 654-2822

Authorized Official

Name: DAVID MATTHEW PRINCE
Title: OWNER
Phone: (435) 654-2822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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