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Organization

FRANDSEN FAMILY DENTAL GROUP PLLC

Active
Parent organization
FRANDSEN FAMILY DENTAL GROUP PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FRANDSEN FAMILY DENTAL GROUP PLLC
Authorized official
BECKY J CHRISTLEY (CREDENTIALLING COORDINATOR)
(435) 884-3476
Entity
Organization

Contact information

Practice address
14 N HALE ST, GRANTSVILLE, UT 84029
(435) 884-3002
(435) 884-6790
Mailing address
14 N HALE ST, GRANTSVILLE, UT 84029-9315
(435) 884-3476
(435) 884-6790

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5125133-9921
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5224323622001
UT
Enumeration date
07/21/2011
Last updated
07/31/2023
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