|
| |
|
6065 Fashion Blvd Suite 275 Murray UT 84107-7381 | |
| (801) 262-4628 | |
| (801) 262-9260 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6065 Fashion Blvd, Murray, Utah |
| Authorized Official Name and Position | Stephen Deaton Haslam (OWNER/MANAGER) |
| Authorized Official Contact | 8012624628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6065 Fashion Blvd Suite 275 Murray UT 84107-7381 Ph: (801) 262-4628 | 6065 Fashion Blvd Suite 275 Murray UT 84107-7381 Ph: (801) 262-4628 |
| NPI Number | 1821273673 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 12/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821273673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 143673-9923 (Utah) | Primary |
Burg Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 678 E Vine St, Ste 10, Murray, UT 84107 Phone: 801-918-4135 | |
Scott P Daynes Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 463 Murray Blvd, Murray, UT 84123 Phone: 801-268-2323 | |
Fashion Place Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6095 S Fashion Blvd Ste 290, Murray, UT 84107 Phone: 801-262-7770 Fax: 801-262-2983 | |
Airway Solutions Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5872 S 900 E Ste 252, Murray, UT 84121 Phone: 801-893-0234 | |