Organization
AMIGOS DENTAL CARE- MARMALADE DISTRICT, LLC
Active
Other names
Marmalade Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN DDS (OWNER/PARTNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(801) 419-0304
Mailing address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(801) 419-0304
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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