| Matsumori Dental, Pllc | |
|
870 E 9400 S Ste 110 Sandy UT 84094-3689 | |
| (801) 571-8391 | |
| (801) 571-8285 |
| Full Name | Matsumori Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 870 E 9400 S Ste 110, Sandy, Utah |
| Authorized Official Name and Position | Devin T Matsumori (OWNER/DENTIST) |
| Authorized Official Contact | 8015718391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matsumori Dental, Pllc 870 E 9400 S Ste 110 Sandy UT 84094-3689 Ph: (801) 571-8391 | Matsumori Dental, Pllc 870 E 9400 S Ste 110 Sandy UT 84094-3689 Ph: (801) 571-8391 |
| NPI Number | 1114324456 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 12/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114324456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7987460-9921 (Utah) | Primary |
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