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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