| Holladay Center Dental | |
|
2160 E 4500 S Ste 3 Holladay UT 84117-4499 | |
| (801) 277-9213 | |
| (801) 277-0956 |
| Full Name | Holladay Center Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2160 E 4500 S Ste 3, Holladay, Utah |
| Authorized Official Name and Position | Nicholas B Lafeber (OWNER DOCTOR) |
| Authorized Official Contact | 8012779213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holladay Center Dental 2160 E 4500 S Ste 3 Holladay UT 84117-4499 Ph: (801) 277-9213 | Holladay Center Dental 2160 E 4500 S Ste 3 Holladay UT 84117-4499 Ph: (801) 277-9213 |
| NPI Number | 1265685176 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 10/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265685176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 320562 (Utah) | Primary |
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