| Foothill Dental Llc | |
|
1355 Foothill Drive Salt Lake City UT 84108 | |
| (801) 582-5787 | |
| (801) 582-4502 |
| Full Name | Foothill Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1355 Foothill Drive, Salt Lake City, Utah |
| Authorized Official Name and Position | David Stohl (OWNER) |
| Authorized Official Contact | 8015825787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Dental Llc 1355 Foothill Drive Salt Lake City UT 84108 Ph: (801) 582-5787 | Foothill Dental Llc 1355 Foothill Drive Salt Lake City UT 84108 Ph: (801) 582-5787 |
| NPI Number | 1578993275 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578993275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 99373787 (Utah) | Primary |
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