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440 S 700 E Ste 305 Salt Lake City UT 84102-2800 | |
(801) 363-1213 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 440 S 700 E Ste 305, Salt Lake City, Utah |
Authorized Official Name and Position | Michael Brent Hutchings (DENTIST) |
Authorized Official Contact | 8013631213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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440 S 700 E Ste 305 Salt Lake City UT 84102-2800 Ph: (801) 363-1213 | 440 S 700 E Ste 305 Salt Lake City UT 84102-2800 Ph: (801) 363-1213 |
NPI Number | 1396019253 |
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Provider Enumeration Date | 02/23/2012 |
Last Update Date | 02/23/2012 |
Identifier | Type | State | Issuer |
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1396019253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 4773273-9922 (Utah) | Primary |
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