| Ranches Family Dental | |
|
3435 E Pony Express Parkway Suite 110 Eagle Mountain UT 84005-1204 | |
| (801) 310-6777 | |
| Not Available |
| Full Name | Ranches Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3435 E Pony Express Parkway, Eagle Mountain, Utah |
| Authorized Official Name and Position | Richard Allen Baldwin (OWNER) |
| Authorized Official Contact | 8013106777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ranches Family Dental 8511 S 1330 E Ste 110 Sandy UT 84093-1321 Ph: (801) 310-6777 | Ranches Family Dental 3435 E Pony Express Parkway Suite 110 Eagle Mountain UT 84005-1204 Ph: (801) 310-6777 |
| NPI Number | 1518520964 |
|---|---|
| Provider Enumeration Date | 04/20/2019 |
| Last Update Date | 04/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518520964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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