| Mdg- Saltlake City Dental | |
|
440 W 200 S Ste 275 Salt Lake City UT 84101-1464 | |
| (801) 321-7600 | |
| Not Available |
| Full Name | Mdg- Saltlake City Dental |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 440 W 200 S Ste 275, Salt Lake City, Utah |
| Authorized Official Name and Position | Robert Kellen Mcwhorter (DENTIST) |
| Authorized Official Contact | 8013588175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdg- Saltlake City Dental 440 W 200 S Ste 275 Salt Lake City UT 84101-1464 Ph: (801) 321-7600 | Mdg- Saltlake City Dental 440 W 200 S Ste 275 Salt Lake City UT 84101-1464 Ph: (801) 321-7600 |
| NPI Number | 1205661543 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205661543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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