On Site Dental LLC

NPI #1497107213 in Farr West, Utah

Provider Information

NPI Number: 1497107213
Entity Type: Organization
Organization Name: On Site Dental LLC
Primary Specialty: Dentist
Enumeration Date: Jul 5, 2016
Last Updated: Jul 5, 2016

Practice Location

Address: 1812 N 2000 W
Address 2: SUITE 8
City: Farr West
State: Utah
ZIP Code: 84404-8058
Phone: (801) 731-4440

Authorized Official

Name: DR. BENJAMIN H HALE, DMD
Title: OWNER/DMD
Phone: (801) 731-4440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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