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Organization

AMIGOS DENTAL CARE- MEADOWBROOK, LLC

Active
Other names
Creek Dental Group at Meadowbrook
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN BOWMAN DDS (OWNER/PARTNER)
(405) 326-8004
Entity
Organization

Contact information

Practice address
4085 S 2200 W STE B, WEST VALLEY CITY, UT 84119-6576
(801) 618-1013
Mailing address
4085 S 2200 W STE B, WEST VALLEY CITY, UT 84119-6576
(801) 618-1013

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/17/2021
Last updated
06/17/2021
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