| Blue Rock Family Dental, Pllc | |
|
1887 Aaron Dr Ste A Tooele UT 84074-8138 | |
| (435) 833-9900 | |
| Not Available |
| Full Name | Blue Rock Family Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1887 Aaron Dr Ste A, Tooele, Utah |
| Authorized Official Name and Position | Brynn Eastman (OFFICE MANAGER) |
| Authorized Official Contact | 4358339900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Rock Family Dental, Pllc 1887 Aaron Dr Ste A Tooele UT 84074-8138 Ph: (435) 833-9900 | Blue Rock Family Dental, Pllc 1887 Aaron Dr Ste A Tooele UT 84074-8138 Ph: (435) 833-9900 |
| NPI Number | 1326527755 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 08/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326527755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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