| Enhance Dental- Union Park, Llc | |
|
6957 S 1300 E Midvale UT 84047-1817 | |
| (801) 618-0246 | |
| Not Available |
| Full Name | Enhance Dental- Union Park, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6957 S 1300 E, Midvale, Utah |
| Authorized Official Name and Position | Benjamin Bowman (OWNER/PARTNER) |
| Authorized Official Contact | 4053268004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhance Dental- Union Park, Llc 6957 S 1300 E Midvale UT 84047-1817 Ph: (801) 618-0246 | Enhance Dental- Union Park, Llc 6957 S 1300 E Midvale UT 84047-1817 Ph: (801) 618-0246 |
| NPI Number | 1427627108 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427627108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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