Youngfamilydentalaf

NPI #1629119409 in American Fork, Utah

Provider Information

NPI Number: 1629119409
Entity Type: Organization
Organization Name: Youngfamilydentalaf
Subpart: Yes (part of a larger organization)
Parent Organization: YOUNG FAMILY DENTAL INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 12, 2007
Last Updated: Mar 24, 2017

Practice Location

Address: 483 E 200 S
City: American Fork
State: Utah
ZIP Code: 84003-2503
Phone: (801) 756-7173

Authorized Official

Name: SUSAN J. JOHN
Title: OFFICE MANAGER
Phone: (801) 756-7173

Specialties & Taxonomy Codes

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

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