Organization
FORT UNION FAMILY DENTAL, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY BRIAN ABRAMS D.M.D (PRESIDENT)
(801) 562-2147
Entity
Organization
Contact information
Practice address
942 E 7145 S, SUITE A108, MIDVALE, UT 84047-1764
(801) 562-2147
(801) 569-1795
Mailing address
942 E 7145 S, SUITE A108, MIDVALE, UT 84047-1764
(801) 562-2147
(801) 569-1795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4920693
UT
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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