104 WEST DENTAL LLC

NPI: 1255294765 · Organization · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

104 W 200 S
BRIGHAM CITY, UT 84302-2506 Map ↗
Phone: 435-734-2394
Fax: 435-734-0117

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice

NPI Registration

Enumerated: 2025-12-03

Last CMS Update: 2025-12-03