Organization · Type 2 NPI

University of Utah Dental Services

Plastic and Reconstructive Surgery Physician · Salt Lake City, UT

NPI number 1346633203 Active

Practice location

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

Mailing address

PO Box 841450
Los Angeles, CA 90084-1450

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1346633203

University of Utah Dental Services's National Provider Identifier is 1346633203, issued on Mar 16, 2015. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Salt Lake City, UT. The record was last updated on May 21, 2020.