Liberty Mountain Dental LLC

NPI #1679182612 in Herriman, Utah

Provider Information

NPI Number
1679182612
Entity Type
Organization
Organization Name
Liberty Mountain Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 27, 2020
Last Updated
Jul 27, 2020

Practice Location

Address
6351 W 13400 S STE 100
State
Utah
ZIP Code
84096-5601
Phone
(385) 237-5252

Authorized Official

Name
DR. TREVOR ROSS LINDGREN, DDS
Title
PRINCIPAL OWNER (CEO)
Phone
(801) 440-5520

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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