| Fort Union Family Dental, P.c | |
|
942 E 7145 S Suite A108 Midvale UT 84047-1764 | |
| (801) 562-2147 | |
| (801) 569-1795 |
| Full Name | Fort Union Family Dental, P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 942 E 7145 S, Midvale, Utah |
| Authorized Official Name and Position | Jeremy Brian Abrams (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, P.c 942 E 7145 S Suite A108 Midvale UT 84047-1764 Ph: (801) 562-2147 | Fort Union Family Dental, P.c 942 E 7145 S Suite A108 Midvale UT 84047-1764 Ph: (801) 562-2147 |
| NPI Number | 1467744029 |
|---|---|
| Provider Enumeration Date | 05/13/2011 |
| Last Update Date | 05/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467744029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4920693 (Utah) | Primary |
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