Professional Dental LLC

NPI #1457476376 in Payson, Utah

Provider Information

NPI Number
1457476376
Entity Type
Organization
Organization Name
Professional Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 20, 2007
Last Updated
Mar 10, 2017

Practice Location

Address
78 E 100 S
City
Payson
State
Utah
ZIP Code
84651-2262
Phone
(801) 465-0550

Authorized Official

Name
ROBERT D HACK
Title
OWNER
Phone
(801) 785-8000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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