Center Square Family Dental, Pllc

NPI #1669842647 in Midvale, Utah

Provider Information

NPI Number: 1669842647
Entity Type: Organization
Organization Name: Center Square Family Dental, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 2, 2015
Last Updated: Oct 2, 2015

Practice Location

Address: 7679 S CENTER SQ
City: Midvale
State: Utah
ZIP Code: 84047-7329
Phone: (801) 255-4821

Authorized Official

Name: JAMES ALCORN, DMD
Title: MANAGER/DENTIST
Phone: (801) 255-4821

Specialties & Taxonomy Codes

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

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