Organization · Type 2 NPI

University of Utah Dental Services

Facial Plastic Surgery Physician · Salt Lake City, UT

NPI number 1194119685 Active

Practice location

50 N Medical Dr
Salt Lake City, UT 84132-0100

Call (801) 581-2121 Map

Mailing address

PO Box 413033, PO
Salt Lake City, UT 84141-3033

Specialties and licenses

TaxonomyCodeLicense
Facial Plastic Surgery Physician Primary 207YS0123XNone listed

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

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About NPI 1194119685

University of Utah Dental Services's National Provider Identifier is 1194119685, issued on Mar 24, 2015. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 24, 2015.