Midvale Modern Dentistry And Orthodontics | |
1144 East Fort Union Boulevard Midvale UT 84047 | |
(801) 566-3118 | |
(801) 561-1343 |
Full Name | Midvale Modern Dentistry And Orthodontics |
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Speciality | Dentist - General Practice |
Location | 1144 East Fort Union Boulevard, Midvale, Utah |
Authorized Official Name and Position | Eric John Swensen (DDS/OWNER) |
Authorized Official Contact | 8015663118 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midvale Modern Dentistry And Orthodontics 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Midvale Modern Dentistry And Orthodontics 1144 East Fort Union Boulevard Midvale UT 84047 Ph: (801) 566-3118 |
NPI Number | 1407112469 |
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Provider Enumeration Date | 04/04/2012 |
Last Update Date | 12/31/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407112469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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