Organization
AMERICAN FORK MODERN DENTISTRY, LLP
Active
Other names
American Fork Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC JOHN SWENSEN (DDS/OWNER)
(801) 756-5643
Entity
Organization
Contact information
Practice address
945 WEST 500 NORTH, SUITE 105, AMERICAN FORK, UT 84003
(801) 756-5643
(801) 756-4109
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
12/31/2013
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