Organization · Type 2 NPI
Professional Dental SLC LLC
Dental Clinic/Center · Salt Lake City, UT
NPI number
1235977240
Active
Practice location
1632 W 700 N Ste A-1
Salt Lake City, UT 84116-1903
Fax (801) 785-4030
Mailing address
PO Box 1806
Orem, UT 84059-1806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1235977240
Professional Dental SLC LLC's National Provider Identifier is 1235977240, issued on Jul 16, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 19, 2024.