| Bullen & Wilson Eaglegate College Dental Clinic | |
|
5618 Green St Murray UT 84123-5796 | |
| (801) 333-8138 | |
| (801) 263-6520 |
| Full Name | Bullen & Wilson Eaglegate College Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5618 Green St, Murray, Utah |
| Authorized Official Name and Position | Holli D Stewart (CLINIC MANAGER) |
| Authorized Official Contact | 8013338138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bullen & Wilson Eaglegate College Dental Clinic 5618 Green St Murray UT 84123-5796 Ph: (801) 333-8138 | Bullen & Wilson Eaglegate College Dental Clinic 5618 Green St Murray UT 84123-5796 Ph: (801) 333-8138 |
| NPI Number | 1962635466 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 08/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962635466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 133186-9922 (Utah) | Primary |
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