Organization
LEGRAND BINGHAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEGRAND BINGHAM D.M.D. (PRESIDENT)
(435) 753-7563
Entity
Organization
Contact information
Practice address
120 W CACHE VALLEY BLVD, SUITE 200, LOGAN, UT 84341-2696
(435) 753-7563
(453) 753-0886
Mailing address
120 W CACHE VALLEY BLVD, SUITE 200, LOGAN, UT 84341-2696
(435) 753-7563
(453) 753-0886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
141029
UT
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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