BONNEVILLE PREVENTIVE DENTISTRY PLLC

OGDEN, UT
NPI1255776431
Entity TypeOrganization
Authorized ContactMATTHEW WOLPERT
Director
801-627-0420
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
(Licence: UT  8289908)
Enumeration Date2013-05-01
Last Update Date2013-05-01
Business Address
BONNEVILLE PREVENTIVE DENTISTRY PLLC
3860 JACKSON AVE SUITE 6
OGDEN, UT 84403-1956
Phone number: 801-627-0420
Mailing Address
BONNEVILLE PREVENTIVE DENTISTRY PLLC
3860 JACKSON AVE SUITE 6
OGDEN, UT 84403-1956
Phone number: 801-627-0420
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