| Sugar House Dental Care | |
|
2114 S Highland Dr Salt Lake City UT 84106-2807 | |
| (540) 419-9422 | |
| Not Available |
| Full Name | Sugar House Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 2114 S Highland Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Ann Marie Wilson (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 5404199422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sugar House Dental Care 3821 Eagle Ridge Ct Hampstead MD 21074-1360 Ph: (410) 804-2709 | Sugar House Dental Care 2114 S Highland Dr Salt Lake City UT 84106-2807 Ph: (540) 419-9422 |
| NPI Number | 1205203981 |
|---|---|
| Provider Enumeration Date | 08/28/2015 |
| Last Update Date | 08/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205203981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9187494-9921 (Utah) | Primary |
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