Individual
TAB BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8370 W 3500 S, MAGNA, UT 84044
(801) 250-7422
Mailing address
8370 W 3500 S, MAGNA, UT 84044-1870
(801) 250-7422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
143204
UT
Other
Enumeration date
05/23/2007
Last updated
11/04/2015
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