Organization
BULLEN & WILSON EAGLEGATE COLLEGE DENTAL CLINIC
Active
Parent organization
BULLEN & WILSON EAGLEGATE COLLEGE
Organization subpart
Yes
Provider details
NPI number
Legal business name
BULLEN & WILSON EAGLEGATE COLLEGE
Authorized official
MS. HOLLI D STEWART CDA (CLINIC MANAGER)
(801) 333-8138
Entity
Organization
Contact information
Practice address
5618 GREEN ST, MURRAY, UT 84123-5796
(801) 333-8138
(801) 263-6520
Mailing address
5618 GREEN ST, MURRAY, UT 84123-5796
(801) 333-8138
(801) 263-6520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
133186-9922
UT
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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