| Salt Lake Modern Dentistry, Llp | |
|
1028 E 2100 S Ste 3 Salt Lake City UT 84106-3096 | |
| (801) 438-6355 | |
| (801) 386-5639 |
| Full Name | Salt Lake Modern Dentistry, Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1028 E 2100 S Ste 3, Salt Lake City, Utah |
| Authorized Official Name and Position | Adam Burr (OWNER) |
| Authorized Official Contact | 8014386355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Lake Modern Dentistry, Llp 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8500 | Salt Lake Modern Dentistry, Llp 1028 E 2100 S Ste 3 Salt Lake City UT 84106-3096 Ph: (801) 438-6355 |
| NPI Number | 1730647330 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 03/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730647330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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