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Basin Family Dental Llc
Dental Clinic/Center in Roosevelt, Utah
NPI 1295317667

Basin Family Dental Llc is a Dental Clinic/Center based in Roosevelt, UT and is specialized in Dental. Basin Family Dental Llc practices in Roosevelt, UT. The NPI Number for Basin Family Dental Llc is 1295317667 and holds a License No. (Utah).

The current practice location address for Basin Family Dental Llc is 209 W 200 N # 71, Roosevelt, UT and can be reached out via phone at 435-722-2111.

Location: 209 W 200 N # 71, Roosevelt, UT, 84066-2835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295317667
Provider Name
Basin Family Dental Llc
Credential
Provider Entity Type
Organization
Address
209 W 200 N # 71, Roosevelt, UT, 84066-2835
Phone Number
435-722-2111
Fax Number
Provider Enumeration Date
04/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600290118011 05 UT
institution
Provider Business Practice Location Address Details
Address
209 W 200 N # 71
City
Roosevelt
State
Utah
Zip
84066-2835
Phone Number
435-722-2111
Fax Number
person
Provider Business Mailing Address Details
Address
209 W 200 N # 71
City
Roosevelt
State
Utah
Zip
84066-2835
Phone Number
435-722-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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