| |
279 E 5900 S Ste. 202 Murray UT 84107-5421 | |
(801) 938-8855 | |
(801) 880-9832 |
Full Name | |
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Speciality | Dentist |
Location | 279 E 5900 S, Murray, Utah |
Authorized Official Name and Position | Greg Anderson (PARTNER) |
Authorized Official Contact | 8012938522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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279 E 5900 S Ste. 202 Murray UT 84107-5421 Ph: (801) 938-8855 | 279 E 5900 S Ste. 202 Murray UT 84107-5421 Ph: (801) 938-8855 |
NPI Number | 1689078792 |
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Provider Enumeration Date | 10/17/2014 |
Last Update Date | 10/17/2014 |
Identifier | Type | State | Issuer |
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1689078792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 5936346 (Utah) | Primary |
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