AMIGOS DENTAL CARE- CALIFORNIA CROSSING LLC NPI 1871162552

NPI Information

AMIGOS DENTAL CARE- CALIFORNIA CROSSING, LLC is a dental clinic center in Salt Lake City, UT. AMIGOS DENTAL CARE- CALIFORNIA CROSSING, LLC NPI is 1871162552. The provider is registered as an organization entity type.
The provider Is Doing Business As Amigos Dental Care- California Crossing, Llc.

The provider's business location address is:

1230 S REDWOOD RD
SALT LAKE CITY, UT
ZIP 84104-707
Phone: (775) 777-5888

The provider's authorized official is Benjamin Bowman .
The authorized official title is Owner/partner and has the following contact phone number (405) 326-8004.

The enumeration date for this NPI number is 6/17/2021 and was last updated on 6/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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