| Salt Lake Implants And Periodontics | |
|
4010 S 700 E Ste 8 Salt Lake City UT 84107-2582 | |
| (801) 266-3519 | |
| Not Available |
| Full Name | Salt Lake Implants And Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4010 S 700 E Ste 8, Salt Lake City, Utah |
| Authorized Official Name and Position | Mark Mangelson (OWNER) |
| Authorized Official Contact | 8012663519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Lake Implants And Periodontics 4010 S 700 E Ste 8 Salt Lake City UT 84107-2582 Ph: (801) 266-3519 | Salt Lake Implants And Periodontics 4010 S 700 E Ste 8 Salt Lake City UT 84107-2582 Ph: (801) 266-3519 |
| NPI Number | 1922664556 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 05/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922664556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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