| Lilac Dentistry | |
|
1408 S 1100 E Ste A Salt Lake City UT 84105-2400 | |
| (801) 828-5315 | |
| Not Available |
| Full Name | Lilac Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1408 S 1100 E Ste A, Salt Lake City, Utah |
| Authorized Official Name and Position | Samira Oveson (OWNER) |
| Authorized Official Contact | 8018285315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilac Dentistry 1408 S 1100 E Ste A Salt Lake City UT 84105-2400 Ph: (801) 828-5315 | Lilac Dentistry 1408 S 1100 E Ste A Salt Lake City UT 84105-2400 Ph: (801) 828-5315 |
| NPI Number | 1861342636 |
|---|---|
| Provider Enumeration Date | 02/02/2026 |
| Last Update Date | 02/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861342636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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