Organization
CENTER SQUARE FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ALCORN DMD (MANAGER/DENTIST)
(801) 255-4821
Entity
Organization
Contact information
Practice address
7679 S CENTER SQ, MIDVALE, UT 84047-7329
(801) 255-4821
(801) 566-8143
Mailing address
7679 S CENTER SQ, MIDVALE, UT 84047-7329
(801) 255-4821
(801) 566-8143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5329882
UT
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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