institution
Canyon River Dental
Dental Clinic/Center in Provo, Utah
NPI 1306088836

Canyon River Dental is a Dental Clinic/Center based in Provo, UT and is specialized in Dental. Canyon River Dental practices in Provo, UT. The NPI Number for Canyon River Dental is 1306088836 and holds a License No. 312434 (Utah).

The current practice location address for Canyon River Dental is 3707 N Canyon Rd Ste 7D, Provo, UT and can be reached out via phone at 801-221-5859 and via fax at 801-221-7091. You can also correspond with Canyon River Dental through the mailing address at 3707 N CANYON RD STE 7D, PROVO, UT - 84604-4586 (mailing address contact number: 801-221-5859).

Location: 3707 N Canyon Rd Ste 7D, Provo, UT, 84604-4586
institution
Provider Profile Details
NPI Number
1306088836
Provider Name
Canyon River Dental
Credential
Provider Entity Type
Organization
Address
3707 N Canyon Rd Ste 7D, Provo, UT, 84604-4586
Phone Number
801-221-5859
Fax Number
801-221-7091
Provider Enumeration Date
03/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
529578391004 05 UT
institution
Provider Business Practice Location Address Details
Address
3707 N Canyon Rd Ste 7D
City
State
Zip
84604-4586
Phone Number
801-221-5859
Fax Number
801-221-7091
person
Provider Business Mailing Address Details
Address
3707 N Canyon Rd Ste 7D
City
State
Zip
84604-4586
Phone Number
801-221-5859
Fax Number
801-221-7091
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
312434 (Utah)
Definition
Definition to come...
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