Individual provider · Type 1 NPI

Rebecca Suzanne Mielnik, DDS

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1760793798 Active

Practice location

500 Foothill Dr
Salt Lake City, UT 84148-0001

Call (801) 584-1206 Map

Mailing address

1146 Laird Ave
Salt Lake City, UT 84105-1908

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760793798

Rebecca Suzanne Mielnik, DDS's National Provider Identifier is 1760793798, issued on Jun 24, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 24, 2010.