Professional Dental West Valley LLC
NPI #1457133779 in West Valley, Utah
Provider Information
- NPI Number
- 1457133779
- Entity Type
- Organization
- Organization Name
- Professional Dental West Valley LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 20, 2023
- Last Updated
- Feb 7, 2024
Practice Location
- Address
- 3601 S 2700 W
- City
- West Valley
- State
- Utah
- ZIP Code
- 84119-3746
- Phone
- (801) 785-8000
Authorized Official
- Name
- ROBERT D HACK
- Title
- OWNER
- Phone
- (801) 636-0110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dental Hygienist |
| Clinic/Center - Dental — Dental |
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