Organization
FASHION PLACE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER EARL GOODMAN D.M.D. (OWNER)
(801) 262-7770
Entity
Organization
Contact information
Practice address
6095 FASHION BLVD, SUITE 3290, MURRAY, UT 84107-7397
(801) 262-7770
(801) 262-2983
Mailing address
6095 FASHION BLVD, SUITE 3290, MURRAY, UT 84107-7397
(801) 262-7770
(801) 262-2983
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4737943-9922
UT
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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