| Holladay Dental Studio Pllc | |
|
4888 S Highland Dr Holladay UT 84117-6007 | |
| (801) 277-9213 | |
| Not Available |
| Full Name | Holladay Dental Studio Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4888 S Highland Dr, Holladay, Utah |
| Authorized Official Name and Position | Andrew G Ericksen (OWNER) |
| Authorized Official Contact | 8012779213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holladay Dental Studio Pllc 4888 S Highland Dr Salt Lake City UT 84117-6007 Ph: (801) 277-9213 | Holladay Dental Studio Pllc 4888 S Highland Dr Holladay UT 84117-6007 Ph: (801) 277-9213 |
| NPI Number | 1710758842 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710758842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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