| Fashion Place Dental | |
|
6095 S Fashion Blvd Ste 290 Murray UT 84107-7391 | |
| (801) 262-7770 | |
| (801) 262-2983 |
| Full Name | Fashion Place Dental |
|---|---|
| Speciality | Dentist |
| Location | 6095 S Fashion Blvd Ste 290, Murray, Utah |
| Authorized Official Name and Position | Melissa Goodman (PRESIDENT) |
| Authorized Official Contact | 8012627770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fashion Place Dental 6095 S Fashion Blvd Ste 290 Murray UT 84107-7391 Ph: (801) 262-7770 | Fashion Place Dental 6095 S Fashion Blvd Ste 290 Murray UT 84107-7391 Ph: (801) 262-7770 |
| NPI Number | 1033532015 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033532015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 142863 (Utah) | Primary |
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