Organization
NEIBAUR FAMILY ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN A NEIBAUR DMD (OWNER)
(801) 269-0303
Entity
Organization
Contact information
Practice address
6095 FASHION BLVD, STE 210, MURRAY, UT 84107-7397
(801) 269-0303
(801) 269-0447
Mailing address
6095 FASHION BLVD, STE 210, MURRAY, UT 84107-7397
(801) 269-0303
(801) 269-0447
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4990210-9921
UT
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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