Rock Canyon Dentistry

NPI #1922474956 in Provo, Utah

Provider Information

NPI Number: 1922474956
Entity Type: Organization
Organization Name: Rock Canyon Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 13, 2015
Last Updated: Aug 13, 2015

Practice Location

Address: 777 N 500 W
Address 2: #105
City: Provo
State: Utah
ZIP Code: 84601-1541
Phone: (801) 373-6362

Authorized Official

Name: DR. JOSEPH DONAL KAYNE, DDS
Title: DENTIST
Phone: (801) 369-2148

Specialties & Taxonomy Codes

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

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