Organization
BLUE ROCK FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYNN EASTMAN (OFFICE MANAGER)
(435) 833-9900
Entity
Organization
Contact information
Practice address
1887 AARON DR STE A, TOOELE, UT 84074-8138
(435) 833-9900
Mailing address
1887 AARON DR STE A, TOOELE, UT 84074-8138
(435) 833-9900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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