| Legacy Trail Family Dental | |
|
1014 W Gentile St Ste A Layton UT 84041-4646 | |
| (801) 698-4555 | |
| Not Available |
| Full Name | Legacy Trail Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1014 W Gentile St Ste A, Layton, Utah |
| Authorized Official Name and Position | Brent Milne (OWNER) |
| Authorized Official Contact | 8016984555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Trail Family Dental 1014 W Gentile St Ste A Layton UT 84041-4646 Ph: (801) 698-4555 | Legacy Trail Family Dental 1014 W Gentile St Ste A Layton UT 84041-4646 Ph: (801) 698-4555 |
| NPI Number | 1154049872 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154049872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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