Organization
STOBBE EGGETT DENTAL
Active
Other names
Bountiful Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SUZIE HENRY (OFFICE MANAGER)
(801) 292-0443
Entity
Organization
Contact information
Practice address
625 E 500 S, SUITE 201, BOUNTIFUL, UT 84010-3882
(801) 292-0443
Mailing address
625 E 500 S, SUITE 201, BOUNTIFUL, UT 84010-3882
(801) 292-0443
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4923271
UT
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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