Bountiful Dentistry

NPI 1053743922 - Dentist - 1223G0001X

NPI Details
NPI 1053743922
Enumeration Date 08/02/2013
Last Updated 08/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MARK MARK
Position PART OWNER
Phone (801) 292-0443
Fax
Practice Location
625 E 500 S
SUITE 201
BOUNTIFUL UT, 84010-3882, US
Phone (801) 292-0443
Fax
Business Location
625 E 500 S
SUITE 201
BOUNTIFUL UT, 84010-3882, US
Phone (801) 292-0443
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Utah
License Number 2013-45880
Remove 1053743922 NPI Number
 

According to our database, Bountiful Dentistry NPI is 1053743922, taxonomy code is 1223G0001X and license number is 2013-45880, license state is located at Utah. Bountiful Dentistry physically located at 625 E 500 S, Bountiful UT, 84010-3882. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1053743922 NPI number is provided on an as is basis without warranty of any kind. 1053743922 is maintained by the National Plan & Provider Enumeration System. The contents of Bountiful Dentistry are for informational purposes only.