Organization · Type 2 NPI

Basin Family Dental LLC

Dental Clinic/Center · Roosevelt, UT

NPI number 1295317667 Active

Practice location

209 W 200 N # 71
Roosevelt, UT 84066-2835

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1295317667

Basin Family Dental LLC's National Provider Identifier is 1295317667, issued on Apr 26, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Roosevelt, UT. The record was last updated on Apr 26, 2021.