Mountain Ridge Dental, LLC

NPI #1457330458 in Orem, Utah

Provider Information

NPI Number: 1457330458
Entity Type: Organization
Organization Name: Mountain Ridge Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1256 S STATE ST
Address 2: SUITE 103
City: Orem
State: Utah
ZIP Code: 84097-8237
Phone: (801) 224-7182

Authorized Official

Name: MRS. LISA DELAHUNT
Title: OWNER/MANAGER
Phone: (801) 224-7182

Specialties & Taxonomy Codes

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

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