104 WEST DENTAL LLC

Dentist - General Practice

Active Organization
NPI: 1255294765

Practice Address

104 W 200 S
Brigham City, UT 84302

Phone: (435) 734-2394

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes -

Frequently Asked Questions

NPI 1255294765 is the National Provider Identifier for 104 WEST DENTAL LLC, a Dentist - General Practice provider located in Brigham City, UT. This NPI was enumerated on December 3, 2025.

Quick Facts

NPI
1255294765
Type
Organization
Enumerated
Dec 3, 2025
Last Updated
Dec 3, 2025

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