Organization
ENHANCE DENTAL- MILLCREEK, LLC
Active
Other names
Kids Dental Home Union Park, Creek Dental Group- Millcreek
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN JAMES BOWMAN (OWNER)
(405) 375-5855
Entity
Organization
Contact information
Practice address
6957 S 1300 EAST, MIDVALE, UT 84047
(801) 747-8015
Mailing address
6957 S 1300 E, MIDVALE, UT 84047-1817
(801) 747-8015
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
12/04/2023
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