Msg Dental LLC

NPI #1982155909 in Provo, Utah

Provider Information

NPI Number: 1982155909
Entity Type: Organization
Organization Name: Msg Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 14, 2016
Last Updated: Oct 14, 2016

Practice Location

Address: 835 N 700 E
City: Provo
State: Utah
ZIP Code: 84606-6993
Phone: (801) 373-7700

Authorized Official

Name: DR. TODD C GROESBECK, DMD
Title: DENTIST
Phone: (801) 373-7700

Specialties & Taxonomy Codes

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

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