| Out Of This World Dentistry | |
|
112 E 12450 S Ste 100 Draper UT 84020-8057 | |
| (801) 571-6751 | |
| (801) 571-4156 |
| Full Name | Out Of This World Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 112 E 12450 S Ste 100, Draper, Utah |
| Authorized Official Name and Position | Dannielle Stark (OFFICE MANAGER) |
| Authorized Official Contact | 8018987502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Out Of This World Dentistry 112 E 12450 S Ste 100 Draper UT 84020-8057 Ph: (801) 571-6751 | Out Of This World Dentistry 112 E 12450 S Ste 100 Draper UT 84020-8057 Ph: (801) 571-6751 |
| NPI Number | 1558760959 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558760959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 144937 (Utah) | Primary |
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