Holladay Dental Studio Pllc | |
4888 S Highland Dr Holladay UT 84117-6007 | |
(801) 277-9213 | |
(385) 770-7196 |
Full Name | Holladay Dental Studio Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4888 S Highland Dr, Holladay, Utah |
Authorized Official Name and Position | Andrew Ericksen (OWNER) |
Authorized Official Contact | 8012779213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Holladay Dental Studio Pllc 4888 S Highland Dr Holladay UT 84117-6007 Ph: (801) 277-9213 | Holladay Dental Studio Pllc 4888 S Highland Dr Holladay UT 84117-6007 Ph: (801) 277-9213 |
NPI Number | 1821602137 |
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Provider Enumeration Date | 09/03/2020 |
Last Update Date | 09/03/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821602137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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Bingham Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2240 E Murray Holladay Rd, Holladay, UT 84117 Phone: 801-277-1010 Fax: 801-277-6024 | |
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Holladay Dental Studio Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4888 S Highland Dr, Holladay, UT 84117 Phone: 801-277-9213 |