Midland Dental

NPI #1346542834 in Roy, Utah

Provider Information

NPI Number: 1346542834
Entity Type: Organization
Organization Name: Midland Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 3, 2010
Last Updated: Dec 3, 2010

Practice Location

Address: 4040 SOUTH MIDLAND DRIVE
Address 2: SUITE 1
City: Roy
State: Utah
ZIP Code: 84067
Phone: (801) 317-4407

Authorized Official

Name: MRS. JANETTE MARY ALLEN
Title: OFFICE MANAGER
Phone: (801) 317-4407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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