Midvale Pdc Pllc

NPI #1659087237 in Midvale, Utah

Provider Information

NPI Number
1659087237
Entity Type
Organization
Organization Name
Midvale Pdc Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 26, 2023
Last Updated
Jan 26, 2023

Practice Location

Address
204 E FORT UNION BLVD STE 102
State
Utah
ZIP Code
84047-5645
Phone
(801) 561-9999

Authorized Official

Name
KAYLA SHADE
Title
REVENUE CYCLE MANAGER
Phone
(801) 305-3460

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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