| Professional Dental Saratoga Llc | |
|
1314 N Redwood Rd Ste 102 Saratoga Springs UT 84045-4704 | |
| (801) 768-0440 | |
| (801) 785-4030 |
| Full Name | Professional Dental Saratoga Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1314 N Redwood Rd Ste 102, Saratoga Springs, Utah |
| Authorized Official Name and Position | Robert D Hack (OWNER) |
| Authorized Official Contact | 8017858000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Saratoga Llc Po Box 1806 Orem UT 84059-1806 Ph: (801) 785-8000 | Professional Dental Saratoga Llc 1314 N Redwood Rd Ste 102 Saratoga Springs UT 84045-4704 Ph: (801) 768-0440 |
| NPI Number | 1528838596 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528838596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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