| American Fork Modern Dentistry And Orthodontics | |
|
945 West 500 North Suite 105 American Fork UT 84003 | |
| (801) 756-5643 | |
| (801) 756-4109 |
| Full Name | American Fork Modern Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 945 West 500 North, American Fork, Utah |
| Authorized Official Name and Position | Eric John Swensen (DDS/OWNER) |
| Authorized Official Contact | 8017565643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Fork Modern Dentistry And Orthodontics 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | American Fork Modern Dentistry And Orthodontics 945 West 500 North Suite 105 American Fork UT 84003 Ph: (801) 756-5643 |
| NPI Number | 1295091387 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 12/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295091387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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