CANYON RIVER DENTAL NPI 1306088836

NPI Information

CANYON RIVER DENTAL is a dental clinic center in Provo, UT. CANYON RIVER DENTAL NPI is 1306088836. The provider is registered as an organization entity type.

The provider's business location address is:

3707 N CANYON RD STE 7D
PROVO, UT
ZIP 84604-586
Phone: (801) 221-5859
Fax: (801) 221-7091

The provider's authorized official is Traci M Franc .
The authorized official title is Manager and has the following contact phone number (801) 221-5859.

The enumeration date for this NPI number is 3/30/2009 and was last updated on 3/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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