Organization
BINGHAM DENTAL & ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAB BINGHAM DDS (OWNER)
(801) 250-7422
Entity
Organization
Contact information
Practice address
3441 S 8400 W STE C, MAGNA, UT 84044-1884
(801) 250-7422
Mailing address
3441 S 8400 W STE C, MAGNA, UT 84044-1884
(801) 250-7422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
143204
UT
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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