Organization · Type 2 NPI
Van Leeuwen Dental, LLC
Dental Clinic/Center · Salt Lake City, UT
NPI number
1831346527
Active
Practice location
6936 Promenade Dr, #201
Salt Lake City, UT 84121-3391
Fax (801) 942-6008
Mailing address
6936 South Promenade Dr., #201
Salt Lake City, UT 84121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 138074 (UT) |
Dental Clinic/Center: Definition to come...
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About NPI 1831346527
Van Leeuwen Dental, LLC's National Provider Identifier is 1831346527, issued on Aug 25, 2008. 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 Aug 25, 2008.