Organization
ON SITE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN H HALE DMD (OWNER/DMD)
(801) 731-4440
Entity
Organization
Contact information
Practice address
1812 N 2000 W, SUITE 8, FARR WEST, UT 84404-8058
(801) 731-4440
(801) 731-4536
Mailing address
1812 N 2000 W, SUITE 8, FARR WEST, UT 84404-8058
(801) 731-4440
(801) 731-4536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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