| Highland Drive Dental Llc | |
|
7240 S Highland Dr Ste 102 Salt Lake City UT 84121-6523 | |
| (801) 550-5013 | |
| Not Available |
| Full Name | Highland Drive Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 7240 S Highland Dr Ste 102, Salt Lake City, Utah |
| Authorized Official Name and Position | Dallis J Zurcher (MEMBER) |
| Authorized Official Contact | 8015505013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Drive Dental Llc 6315 S Cobblecrest Rd Holladay UT 84121-2254 Ph: (801) 550-5013 | Highland Drive Dental Llc 7240 S Highland Dr Ste 102 Salt Lake City UT 84121-6523 Ph: (801) 550-5013 |
| NPI Number | 1639753163 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 05/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639753163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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