Genesis Dental of Roy, LLC

NPI #1841300381 in Roy, Utah

Provider Information

NPI Number
1841300381
Entity Type
Organization
Organization Name
Genesis Dental of Roy, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 30, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
4896 S 1900 W
Address 2
SUITE C
City
Roy
State
Utah
ZIP Code
84067-2994
Phone
(801) 825-3898

Authorized Official

Name
MR. JASON D CASTO
Title
OWNER/MEMBER
Phone
(801) 838-8030

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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