Organization · Type 2 NPI

Bonneville Preventive Dentistry PLLC

Dental Clinic/Center · Ogden, UT

NPI number 1255776431 Active

Practice location

3860 Jackson Ave, Suite 6
Ogden, UT 84403-1956

Call (801) 627-0420 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X8289908 (UT)

Dental Clinic/Center: Definition to come...

4 other providers at this address

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About NPI 1255776431

Bonneville Preventive Dentistry PLLC's National Provider Identifier is 1255776431, issued on May 1, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ogden, UT. The record was last updated on May 1, 2013.