Vineyard Oral and Maxillofacial Surgery

NPI #1891394631 in Vineyard, Utah

Provider Information

NPI Number
1891394631
Entity Type
Organization
Organization Name
Vineyard Oral and Maxillofacial Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Oct 22, 2020
Last Updated
Oct 22, 2020

Practice Location

Address
707 E MILL RD STE 102
State
Utah
ZIP Code
84059-5732
Phone
(801) 766-4834

Authorized Official

Name
SHANNON SHIELDS
Title
OFFICE MANAGER
Phone
(801) 766-4834

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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