Stonehaven Dental - Midvale, LLC

NPI #1720524747 in Midvale, Utah

Provider Information

NPI Number: 1720524747
Entity Type: Organization
Organization Name: Stonehaven Dental - Midvale, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 14, 2017
Last Updated: Jan 17, 2017

Practice Location

Address: 7681 S 700 E
City: Midvale
State: Utah
ZIP Code: 84047-2350
Phone: (385) 385-5570

Authorized Official

Name: STEPHEN JAMES
Title: CFO
Phone: (502) 254-8500

Specialties & Taxonomy Codes

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

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