| Denticare, Llc | |
|
10597 S Beach Comber Way South Jordan UT 84009-6132 | |
| (801) 447-5022 | |
| Not Available |
| Full Name | Denticare, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10597 S Beach Comber Way, South Jordan, Utah |
| Authorized Official Name and Position | Tanner M Clark (OWNER) |
| Authorized Official Contact | 2083178555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denticare, Llc 10597 S Beach Comber Way South Jordan UT 84009-6132 Ph: (208) 317-8555 | Denticare, Llc 10597 S Beach Comber Way South Jordan UT 84009-6132 Ph: (801) 447-5022 |
| NPI Number | 1386143857 |
|---|---|
| Provider Enumeration Date | 02/09/2018 |
| Last Update Date | 02/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386143857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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