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Organization

BISHOP FAMILY DENTAL

Active
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Organization

BISHOP FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL BISHOP DMD (PRESIDENT)
(801) 274-2500
Entity
Organization

Contact information

Practice address
2120 E 3900 S, SUITE 102, SALT LAKE CITY, UT 84124-1771
(801) 274-2500
(801) 274-0590
Mailing address
2120 E 3900 S, SUITE 102, SALT LAKE CITY, UT 84124-1771
(801) 274-2500
(801) 274-0590

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
78978139922
UT

Other

Enumeration date
12/14/2015
Last updated
12/14/2015
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