Organization
HERITAGE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW KEVIN NIELD D.D.S. (DENTIST)
(801) 525-1415
Entity
Organization
Contact information
Practice address
1747 HERITAGE LN, SUITE A-1, SYRACUSE, UT 84075-8552
(801) 525-1415
(801) 525-0583
Mailing address
1747 HERITAGE LN, SUITE A-1, SYRACUSE, UT 84075-8552
(801) 525-1415
(801) 525-0583
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2094
UT
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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