| Clinica Dental | |
|
2470 S Redwood Rd #204 West Valley City UT 84119-2079 | |
| (435) 659-1100 | |
| Not Available |
| Full Name | Clinica Dental |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 2470 S Redwood Rd, West Valley City, Utah |
| Authorized Official Name and Position | Marilee Bitner (OWNER) |
| Authorized Official Contact | 4356591100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Dental 2470 S. Redwood Rd #204 West Valley City UT 84119 Ph: (435) 659-1100 | Clinica Dental 2470 S Redwood Rd #204 West Valley City UT 84119-2079 Ph: (435) 659-1100 |
| NPI Number | 1164755740 |
|---|---|
| Provider Enumeration Date | 09/14/2009 |
| Last Update Date | 09/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164755740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 311890-9922 (Utah) | Primary |
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