Organization · Type 2 NPI
850 E 300 S SLC Dental LLC
Dental Clinic/Center · Salt Lake City, UT
NPI number
1629645239
Active
Practice location
850 E 300 S Ste 3
Salt Lake City, UT 84102-2397
Fax (801) 355-0384
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1629645239
850 E 300 S SLC Dental LLC's National Provider Identifier is 1629645239, issued on Jun 10, 2021. 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 Jun 10, 2021.