LEGACY FAMILY DENTAL OF BOUNTIFUL LLC

BOUNTIFUL, UT
NPI1275859589
Entity TypeOrganization
Authorized ContactKASE PEERY
Owner/Managing Member
801-870-0838
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: UT  75313980160)
Enumeration Date2010-04-12
Last Update Date2010-04-12
Business Address
LEGACY FAMILY DENTAL OF BOUNTIFUL LLC
55 E 2200 S
BOUNTIFUL, UT 84010-5619
Phone number: 801-295-5115
Mailing Address
LEGACY FAMILY DENTAL OF BOUNTIFUL LLC
55 E 2200 S
BOUNTIFUL, UT 84010-5619
Phone number: 801-295-5115