| |
280 N Union Ave #l110 Farmington UT 84025 | |
(801) 934-3181 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 280 N Union Ave, Farmington, Utah |
Authorized Official Name and Position | Robert Chidester (PRESIDENT) |
Authorized Official Contact | 7144282000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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280 N Union Ave #l110 Farmington UT 84025 Ph: (801) 934-3181 | 280 N Union Ave #l110 Farmington UT 84025 Ph: (801) 934-3181 |
NPI Number | 1487913869 |
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Provider Enumeration Date | 05/07/2012 |
Last Update Date | 01/06/2025 |
Identifier | Type | State | Issuer |
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1487913869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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