| Grace Family Dental | |
|
4010 S 700 E Ste 5 Salt Lake City UT 84107-2575 | |
| (801) 262-0915 | |
| (801) 262-0812 |
| Full Name | Grace Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 4010 S 700 E Ste 5, Salt Lake City, Utah |
| Authorized Official Name and Position | Chun K Kim (PRESIDENT) |
| Authorized Official Contact | 8012620915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Family Dental 4010 S 700 E #5 Salt Lake City UT 84107 Ph: (801) 262-0915 | Grace Family Dental 4010 S 700 E Ste 5 Salt Lake City UT 84107-2575 Ph: (801) 262-0915 |
| NPI Number | 1215354949 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215354949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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