| Confederated Tribes Of The Goshute Reservation | |
|
660 S 200 E Ste 250 Salt Lake City UT 84111-3846 | |
| (801) 359-2256 | |
| Not Available |
| Full Name | Confederated Tribes Of The Goshute Reservation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 660 S 200 E Ste 250, Salt Lake City, Utah |
| Authorized Official Name and Position | Crystal Contreras (BILLING) |
| Authorized Official Contact | 8013592256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Confederated Tribes Of The Goshute Reservation 660 S 200 E Ste 250 Salt Lake City UT 84111-3846 Ph: (801) 359-2256 | Confederated Tribes Of The Goshute Reservation 660 S 200 E Ste 250 Salt Lake City UT 84111-3846 Ph: (801) 359-2256 |
| NPI Number | 1174969125 |
|---|---|
| Provider Enumeration Date | 05/17/2013 |
| Last Update Date | 12/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174969125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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