Lake Mountain Dental Eagle Mountain LLC
NPI #1518641083 in Eagle Mountain, Utah
Provider Information
- NPI Number
- 1518641083
- Entity Type
- Organization
- Organization Name
- Lake Mountain Dental Eagle Mountain LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 14, 2023
- Last Updated
- Jun 14, 2023
Practice Location
- Address
- 4342 E PONY EXPRESS PKWY STE 100
- City
- Eagle Mountain
- State
- Utah
- ZIP Code
- 84005-5773
- Phone
- (801) 830-4486
Authorized Official
- Name
- CADEN CADEN
- Title
- ADMIN
- Phone
- (801) 830-4486
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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Organizations
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|---|---|
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