Mdg- Saltlake City Dental | |
440 W 200 S Ste 275 Salt Lake City UT 84101-1464 | |
(801) 321-7600 | |
Not Available |
Full Name | Mdg- Saltlake City Dental |
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Speciality | Dentist - Prosthodontics |
Location | 440 W 200 S Ste 275, Salt Lake City, Utah |
Authorized Official Name and Position | Robert Kellen Mcwhorter (DENTIST) |
Authorized Official Contact | 8013588175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mdg- Saltlake City Dental 440 W 200 S Ste 275 Salt Lake City UT 84101-1464 Ph: (801) 321-7600 | Mdg- Saltlake City Dental 440 W 200 S Ste 275 Salt Lake City UT 84101-1464 Ph: (801) 321-7600 |
NPI Number | 1205661543 |
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Provider Enumeration Date | 09/05/2024 |
Last Update Date | 09/05/2024 |
Identifier | Type | State | Issuer |
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1205661543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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