| Salt Lake Mobile Dental Llc | |
|
622 E 4500 S Ste 201 Murray UT 84107-2922 | |
| (801) 477-6333 | |
| Not Available |
| Full Name | Salt Lake Mobile Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 622 E 4500 S Ste 201, Murray, Utah |
| Authorized Official Name and Position | Dallis J Zurcher (OWNER / DENTIST) |
| Authorized Official Contact | 8015505013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Lake Mobile Dental Llc 6315 S Cobblecrest Rd Holladay UT 84121-2254 Ph: (801) 550-5013 | Salt Lake Mobile Dental Llc 622 E 4500 S Ste 201 Murray UT 84107-2922 Ph: (801) 477-6333 |
| NPI Number | 1588334387 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588334387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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