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Individual

DR. MARTIN CLYDE BINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
850 E. 9400 SO, # 202, SANDY, UT 84094
(801) 571-3400
Mailing address
850 E. 9400 SO, # 202, SANDY, UT 84094
(801) 571-3400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
134398
UT

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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