| Viet Dentistry | |
|
1819 W 3500 S Suite 1a Salt Lake City UT 84119-3457 | |
| (801) 887-7264 | |
| (801) 908-5752 |
| Full Name | Viet Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1819 W 3500 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Kieu Thien Le (OWNER) |
| Authorized Official Contact | 8018877264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viet Dentistry 1819 W 3500 S Suite 1a Salt Lake City UT 84119-3457 Ph: (801) 887-7264 | Viet Dentistry 1819 W 3500 S Suite 1a Salt Lake City UT 84119-3457 Ph: (801) 887-7264 |
| NPI Number | 1407158413 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 11/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407158413 | NPI | - | NPPES |
| 647187297008 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 376933-9921 (Utah) | Primary |
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