Individual
DR. BEN NEIBAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
155 E 13800 S, SUITE F4, DRAPER, UT 84020-9806
(801) 269-0303
Mailing address
155 E 13800 S, SUITE F4, DRAPER, UT 84020-9806
(801) 269-0303
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4990210-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
8591
TN
Other
Enumeration date
01/04/2007
Last updated
06/26/2014
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