Celeste C Mortenson PC

NPI #1376035196 in Providence, Utah

Provider Information

NPI Number: 1376035196
Entity Type: Organization
Organization Name: Celeste C Mortenson PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 6, 2018
Last Updated: Jun 6, 2018

Practice Location

Address: 169 N GATEWAY DR STE 175
City: Providence
State: Utah
ZIP Code: 84332-9825
Phone: (435) 752-0605

Authorized Official

Name: DR. CELESTE C MORTENSON, DDS
Title: OWNER, PRESIDENT
Phone: (435) 512-0133

Specialties & Taxonomy Codes

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

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