Mountain Vista Dental Care

NPI #1710292339 in Harrisville, Utah

Provider Information

NPI Number: 1710292339
Entity Type: Organization
Organization Name: Mountain Vista Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 9, 2010
Last Updated: Aug 9, 2010

Practice Location

Address: 539 N HARRISVILLE RD
Address 2: SUITE F
City: Harrisville
State: Utah
ZIP Code: 84404-3560
Phone: (801) 786-0700

Authorized Official

Name: DR. DANIEL RYAN MCCONKIE, DDS
Title: MANAGER
Phone: (801) 786-0700

Specialties & Taxonomy Codes

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

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