NPI 1003325374

Kos Spanish Fork LLC

Organisation Dental Clinic/Center Spanish Fork, UT

Practice location

Address: 948 N 200 E, Spanish Fork, UT 84660
Phone: (801) 361-3926
Mailing address: 948 N 200 E, Spanish Fork, UT 84660-1247

Authorised official

Name: Kameron Kuhni
Title: Manager
Phone: (801) 798-6000

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 10294158-9921 (UT)

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Registry record

NPI: 1003325374
Entity type: Organization
NPI issued: 29 Sep 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.