| Cottonwood Endodontics Pc | |
|
4252 Highland Dr Suite 100 Salt Lake City UT 84124-2670 | |
| (801) 278-3636 | |
| (801) 424-0833 |
| Full Name | Cottonwood Endodontics Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4252 Highland Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Roger Kay Warren (PRES SEC) |
| Authorized Official Contact | 8012783636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Endodontics Pc 4252 Highland Dr Suite 100 Salt Lake City UT 84124-2670 Ph: (801) 278-3636 | Cottonwood Endodontics Pc 4252 Highland Dr Suite 100 Salt Lake City UT 84124-2670 Ph: (801) 278-3636 |
| NPI Number | 1275665325 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275665325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1404979923 (Utah) | Primary |
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