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Professional Dental Circleville Llc
Dental Clinic/Center in Circleville, Utah
NPI 1619551496

Professional Dental Circleville Llc is a Dental Clinic/Center based in Orem, UT and is specialized in Dental. Professional Dental Circleville Llc practices in Circleville, UT. The NPI Number for Professional Dental Circleville Llc is 1619551496 and holds a License No. (Utah).

The current practice location address for Professional Dental Circleville Llc is 110 South 100 East, Circleville, UT and can be reached out via phone at 801-785-8000.

Location: 110 South 100 East, Circleville, UT, 84059-1806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619551496
Provider Name
Professional Dental Circleville Llc
Credential
Provider Entity Type
Organization
Address
110 South 100 East, Circleville, UT, 84059-1806
Phone Number
801-785-8000
Fax Number
Provider Enumeration Date
05/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1942396643 01 UT NPI
institution
Provider Business Practice Location Address Details
Address
110 South 100 East
City
Circleville
State
Utah
Zip
84723
Phone Number
801-785-8000
Fax Number
person
Provider Business Mailing Address Details
Address
110 South 100 East
City
Circleville
State
Utah
Zip
84723
Phone Number
801-785-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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