Maple Mountain Dental Pllc DBA Maple Mountain Dentistry

NPI #1497061162 in Mapleton, Utah

Provider Information

NPI Number: 1497061162
Entity Type: Organization
Organization Name: Maple Mountain Dental Pllc DBA Maple Mountain Dentistry
Primary Specialty: Dentist
Enumeration Date: Aug 19, 2010
Last Updated: Aug 19, 2010

Practice Location

Address: 425 N MAIN ST
City: Mapleton
State: Utah
ZIP Code: 84664-3410
Phone: (801) 491-8191

Authorized Official

Name: TANYA WESTMORELAND
Title: DDS
Phone: (801) 491-8191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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