Canyon Gate Dental Care LLC

NPI #1548506058 in Orem, Utah

Provider Information

NPI Number: 1548506058
Entity Type: Organization
Organization Name: Canyon Gate Dental Care LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 2, 2013
Last Updated: Jan 2, 2013

Practice Location

Address: 440 W 800 N
City: Orem
State: Utah
ZIP Code: 84057-3728
Phone: (801) 764-9444

Authorized Official

Name: DR. GLENN PAYNE, DDS
Title: DENTIST
Phone: (801) 764-9444

Specialties & Taxonomy Codes

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

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