| Ben Lomond Dental Llc | |
|
2707 N 400 E North Ogden UT 84414-3701 | |
| (801) 782-0866 | |
| (801) 782-1344 |
| Full Name | Ben Lomond Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 2707 N 400 E, North Ogden, Utah |
| Authorized Official Name and Position | Brendan R Green (PARTNER) |
| Authorized Official Contact | 8017820866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Lomond Dental Llc 2707 N 400 E North Ogden UT 84414-3701 Ph: (801) 782-0866 | Ben Lomond Dental Llc 2707 N 400 E North Ogden UT 84414-3701 Ph: (801) 782-0866 |
| NPI Number | 1336569771 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336569771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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