| Fashion Place Dental Pc | |
|
6095 Fashion Blvd Suite 3290 Murray UT 84107-7397 | |
| (801) 262-7770 | |
| (801) 262-2983 |
| Full Name | Fashion Place Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 6095 Fashion Blvd, Murray, Utah |
| Authorized Official Name and Position | Christopher Earl Goodman (OWNER) |
| Authorized Official Contact | 8012627770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fashion Place Dental Pc 6095 Fashion Blvd Suite 3290 Murray UT 84107-7397 Ph: (801) 262-7770 | Fashion Place Dental Pc 6095 Fashion Blvd Suite 3290 Murray UT 84107-7397 Ph: (801) 262-7770 |
| NPI Number | 1417177197 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417177197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4737943-9922 (Utah) | Primary |
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