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Organization
FLD, LLC
Active
Organization
FLD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC MARTIN (MEMBER)
(801) 419-9451
Entity
Organization
Contact information
Practice address
845 NORTH 100 WEST, SUITE 100, OREM, UT 84057
(801) 227-5080
Mailing address
845 NORTH 100 WEST, SUITE 100, OREM, UT 84057
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
495544423
UT
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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