Advance Dental PLLC
Clinic/Center, Dental in Layton, UT. Organization (NPI-2).
NPI number1669986394
StatusActive
Last updated in NPPESNov 16, 2017
Details
- NPI
- 1669986394
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Dental PLLC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2017
- Last updated
- Nov 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
700 N Fairfield RdLayton, UT 84041-2728
Phone 801-444-0303 · Fax 801-546-0652
Mailing address
700 N Fairfield RdLayton, UT 84041-2728
Phone 801-444-0303 · Fax 801-546-0652
Authorized official
John Juel Christensen
Dentist
8014440303
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