| Spencer Luke Dmd, Inc. | |
|
1011 Catherine St Salt Lake City UT 84116-1600 | |
| (801) 596-3000 | |
| (801) 596-8887 |
| Full Name | Spencer Luke Dmd, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1011 Catherine St, Salt Lake City, Utah |
| Authorized Official Name and Position | Spencer Luke (DENTIST/PRESIDENT) |
| Authorized Official Contact | 8015963000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Luke Dmd, Inc. 1011 Catherine St Salt Lake City UT 84116-1600 Ph: (801) 596-3000 | Spencer Luke Dmd, Inc. 1011 Catherine St Salt Lake City UT 84116-1600 Ph: (801) 596-3000 |
| NPI Number | 1578863734 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578863734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6321727 (Utah) | Primary |
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