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166 E 5900 S Suite B101 Murray UT 84107-7257 | |
| (801) 262-1974 | |
| (801) 263-2064 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 166 E 5900 S, Murray, Utah |
| Authorized Official Name and Position | Mark Lynnwood Christensen (OWNER) |
| Authorized Official Contact | 8012621974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
166 E 5900 S Suite B101 Murray UT 84107-7257 Ph: (801) 262-1974 | 166 E 5900 S Suite B101 Murray UT 84107-7257 Ph: (801) 262-1974 |
| NPI Number | 1861848673 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861848673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 139732-9922 (Utah) | Primary |
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