| 12465 S Fort St Draper Dental Llc | |
|
12465 S Fort St Ste 100 Draper UT 84020-8354 | |
| (801) 576-1167 | |
| Not Available |
| Full Name | 12465 S Fort St Draper Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12465 S Fort St Ste 100, Draper, Utah |
| Authorized Official Name and Position | Dallis Jacob Zurcher (DOCTOR) |
| Authorized Official Contact | 8015505013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 12465 S Fort St Draper Dental Llc 3757 E Hermes Dr Millcreek UT 84124-3337 Ph: (801) 550-5013 | 12465 S Fort St Draper Dental Llc 12465 S Fort St Ste 100 Draper UT 84020-8354 Ph: (801) 576-1167 |
| NPI Number | 1790593051 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790593051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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