| 850 E 300 S Slc Dental Llc | |
|
850 E 300 S Ste 3 Salt Lake City UT 84102-2397 | |
| (801) 355-0380 | |
| (801) 355-0384 |
| Full Name | 850 E 300 S Slc Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 850 E 300 S Ste 3, Salt Lake City, Utah |
| Authorized Official Name and Position | Melissa Lowther (OFFICE MANAGER) |
| Authorized Official Contact | 8013550380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 850 E 300 S Slc Dental Llc 850 E 300 S Ste 3 Salt Lake City UT 84102-2397 Ph: (801) 355-0380 | 850 E 300 S Slc Dental Llc 850 E 300 S Ste 3 Salt Lake City UT 84102-2397 Ph: (801) 355-0380 |
| NPI Number | 1629645239 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 06/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629645239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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