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3001 S Richmond St Unit A Salt Lake City UT 84106-3005 | |
(801) 467-6555 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 3001 S Richmond St Unit A, Salt Lake City, Utah |
Authorized Official Name and Position | Madison Day (OWNER) |
Authorized Official Contact | 8017123043 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3001 S Richmond St Unit A Salt Lake City UT 84106-3005 Ph: () - | 3001 S Richmond St Unit A Salt Lake City UT 84106-3005 Ph: (801) 467-6555 |
NPI Number | 1659145407 |
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Provider Enumeration Date | 11/13/2023 |
Last Update Date | 03/07/2024 |
Identifier | Type | State | Issuer |
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1659145407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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