Organization
LEGACY TRAIL FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MILNE DMD (OWNER)
(801) 698-4555
Entity
Organization
Contact information
Practice address
1014 W GENTILE ST STE A, LAYTON, UT 84041-4646
(801) 698-4555
Mailing address
1014 W GENTILE ST STE A, LAYTON, UT 84041-4646
(801) 698-4555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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