| Fort Union Family Dental | |
|
8915 S 700 E Ste 103 Sandy UT 84070-2421 | |
| (801) 562-2147 | |
| (801) 569-1795 |
| Full Name | Fort Union Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8915 S 700 E Ste 103, Sandy, Utah |
| Authorized Official Name and Position | Todd S Larsen (PRESIDENT) |
| Authorized Official Contact | 8015622147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Union Family Dental 8915 S 700 E Ste 103 Sandy UT 84070-2421 Ph: (801) 562-2147 | Fort Union Family Dental 8915 S 700 E Ste 103 Sandy UT 84070-2421 Ph: (801) 562-2147 |
| NPI Number | 1245618099 |
|---|---|
| Provider Enumeration Date | 05/13/2015 |
| Last Update Date | 11/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245618099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 360817-9922 (Utah) | Primary |
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