| Neibaur Family Orthodontics Llc | |
|
6095 Fashion Blvd Ste 210 Murray UT 84107-7397 | |
| (801) 269-0303 | |
| (801) 269-0447 |
| Full Name | Neibaur Family Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6095 Fashion Blvd, Murray, Utah |
| Authorized Official Name and Position | Benjamin A Neibaur (OWNER) |
| Authorized Official Contact | 8012690303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neibaur Family Orthodontics Llc 6095 Fashion Blvd Ste 210 Murray UT 84107-7397 Ph: (801) 269-0303 | Neibaur Family Orthodontics Llc 6095 Fashion Blvd Ste 210 Murray UT 84107-7397 Ph: (801) 269-0303 |
| NPI Number | 1821382342 |
|---|---|
| Provider Enumeration Date | 06/01/2011 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821382342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4990210-9921 (Utah) | Primary |
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