Organization
MIDVALE MODERN DENTISTRY, LLP
Active
Other names
Midvale Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC JOHN SWENSEN (DDS/OWNER)
(801) 566-3118
Entity
Organization
Contact information
Practice address
1144 EAST FORT UNION BOULEVARD, MIDVALE, UT 84047
(801) 566-3118
(801) 561-1343
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
04/04/2012
Last updated
12/31/2013
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