American Fork Modern Dentistry, LLP
NPI #1295091387 in American Fork, Utah
Provider Information
- NPI Number
- 1295091387
- Entity Type
- Organization
- Organization Name
- American Fork Modern Dentistry, LLP
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 3, 2012
- Last Updated
- Dec 31, 2013
Practice Location
- Address
- 945 WEST 500 NORTH
- Address 2
- SUITE 105
- City
- American Fork
- State
- Utah
- ZIP Code
- 84003
- Phone
- (801) 756-5643
Authorized Official
- Name
- DR. ERIC JOHN SWENSEN
- Title
- DDS/OWNER
- Phone
- (801) 756-5643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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