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445 E 4500 S Ste 150 Salt Lake City UT 84107-3101 | |
| (801) 266-3236 | |
| (801) 206-3236 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 445 E 4500 S Ste 150, Salt Lake City, Utah |
| Authorized Official Name and Position | Curtis Brimley (OWNER) |
| Authorized Official Contact | 8012663236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
445 E 4500 S Ste 150 Salt Lake City UT 84107-3101 Ph: (801) 266-3236 | 445 E 4500 S Ste 150 Salt Lake City UT 84107-3101 Ph: (801) 266-3236 |
| NPI Number | 1861860173 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861860173 | NPI | - | NPPES |
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