| Family Dental Plan | |
|
Salt Lake Clinic - Family Dental Plan 3195 South Main Street, Suite 200 Salt Lake City UT 84114 | |
| (801) 468-0342 | |
| Not Available |
| Full Name | Family Dental Plan |
|---|---|
| Speciality | Dentist - General Practice |
| Location | Salt Lake Clinic - Family Dental Plan, Salt Lake City, Utah |
| Authorized Official Name and Position | David Sundwall (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8015386111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Plan 288 North 1460 West P.o. Box 143107 Salt Lake City UT 84114-3107 Ph: (801) 538-6111 | Family Dental Plan Salt Lake Clinic - Family Dental Plan 3195 South Main Street, Suite 200 Salt Lake City UT 84114 Ph: (801) 468-0342 |
| NPI Number | 1437252491 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437252491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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