Individual
ERIC WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2618 W 7800 S STE 100, WEST JORDAN, UT 84088-4212
(801) 380-5279
Mailing address
2568 N LAKE MOUNTAIN RD, EAGLE MOUNTAIN, UT 84005-4091
(801) 380-5279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11722037-9922
UT
Other
Enumeration date
06/09/2018
Last updated
08/09/2020
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