Ut Specialty Dental Services, Pllc
NPI #1679330518 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1679330518
- Entity Type
- Organization
- Organization Name
- Ut Specialty Dental Services, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- UT SPECIALTY DENTAL SERVICES, PLLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Mar 5, 2024
- Last Updated
- Mar 5, 2024
Practice Location
- Address
- 389 N MAIN ST
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660-1734
- Phone
- (801) 798-1118
Authorized Official
- Name
- CHARLOTTE V DASCH
- Title
- DIRECTOR OF CRED AND PR
- Phone
- (504) 638-0303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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