Organization
RICHFIELD FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN (OWNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
820 N MAIN ST STE 1, RICHFIELD, UT 84701-1893
(435) 896-9696
Mailing address
820 N MAIN ST STE 1, RICHFIELD, UT 84701-1893
(435) 896-9696
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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