Individual
DR. LEGRAND BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
120 W CACHE VALLEY BLVD, SUITE 200, LOGAN, UT 84341
(435) 753-7563
(435) 753-0886
Mailing address
120 W CACHE VALLEY BLVD, SUITE 200, LOGAN, UT 84341
(435) 753-7563
(435) 753-0886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
141029
UT
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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