Ben Lomond Dental LLC

NPI #1336569771 in North Ogden, Utah

Provider Information

NPI Number: 1336569771
Entity Type: Organization
Organization Name: Ben Lomond Dental LLC
Primary Specialty: Dentist
Enumeration Date: Apr 24, 2014
Last Updated: Apr 24, 2014

Practice Location

Address: 2707 N 400 E
City: North Ogden
State: Utah
ZIP Code: 84414-3701
Phone: (801) 782-0866

Authorized Official

Name: DR. BRENDAN R GREEN, DDS
Title: PARTNER
Phone: (801) 782-0866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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