| Center Square Family Dental, Pllc | |
|
7679 S Center Sq Midvale UT 84047-7329 | |
| (801) 255-4821 | |
| (801) 566-8143 |
| Full Name | Center Square Family Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7679 S Center Sq, Midvale, Utah |
| Authorized Official Name and Position | James Alcorn (MANAGER/DENTIST) |
| Authorized Official Contact | 8012554821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Square Family Dental, Pllc 7679 S Center Sq Midvale UT 84047-7329 Ph: (801) 255-4821 | Center Square Family Dental, Pllc 7679 S Center Sq Midvale UT 84047-7329 Ph: (801) 255-4821 |
| NPI Number | 1669842647 |
|---|---|
| Provider Enumeration Date | 10/02/2015 |
| Last Update Date | 10/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669842647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5329882 (Utah) | Primary |
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