Main Plaza Dental

NPI #1558672758 in Spanish Fork, Utah

Provider Information

NPI Number
1558672758
Entity Type
Organization
Organization Name
Main Plaza Dental
Primary Specialty
Dentist
Enumeration Date
Jun 23, 2010
Last Updated
Jun 23, 2010

Practice Location

Address
312 N MAIN ST
State
Utah
ZIP Code
84660-1735
Phone
(801) 794-9684

Authorized Official

Name
MS. AVERY LYNN BRERETON
Title
OFFICE MANAGER
Phone
(801) 794-9684

Specialties & Taxonomy Codes

Specialty
Dentist

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