| Midland Dental | |
|
4040 South Midland Drive Suite 1 Roy UT 84067 | |
| (801) 317-4407 | |
| (801) 605-8304 |
| Full Name | Midland Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4040 South Midland Drive, Roy, Utah |
| Authorized Official Name and Position | Janette Mary Allen (OFFICE MANAGER) |
| Authorized Official Contact | 8013174407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Dental 4040 South Midland Drive Suite 1 Roy UT 84067 Ph: (801) 317-4407 | Midland Dental 4040 South Midland Drive Suite 1 Roy UT 84067 Ph: (801) 317-4407 |
| NPI Number | 1346542834 |
|---|---|
| Provider Enumeration Date | 12/03/2010 |
| Last Update Date | 12/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346542834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6654241-9922 (Utah) | Primary |
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