| Midvale Modern Dentistry And Orthodontics | |
|
1144 East Fort Union Boulevard Midvale UT 84047 | |
| (801) 566-3118 | |
| (801) 561-1343 |
| Full Name | Midvale Modern Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1144 East Fort Union Boulevard, Midvale, Utah |
| Authorized Official Name and Position | Eric John Swensen (DDS/OWNER) |
| Authorized Official Contact | 8015663118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midvale Modern Dentistry And Orthodontics 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Midvale Modern Dentistry And Orthodontics 1144 East Fort Union Boulevard Midvale UT 84047 Ph: (801) 566-3118 |
| NPI Number | 1407112469 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 12/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407112469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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