Organization
CLINICA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILEE BITNER (OWNER)
(435) 659-1100
Entity
Organization
Contact information
Practice address
2470 S REDWOOD RD, #204, WEST VALLEY CITY, UT 84119-2079
(435) 659-1100
Mailing address
2470 S. REDWOOD RD, #204, WEST VALLEY CITY, UT 84119
(435) 659-1100
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
311890-9922
UT
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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