| North Salt Lake Dental Pllc | |
|
386 N Redwood Rd Ste 106 North Salt Lake UT 84054-2795 | |
| (801) 397-5262 | |
| Not Available |
| Full Name | North Salt Lake Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 386 N Redwood Rd Ste 106, North Salt Lake, Utah |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Salt Lake Dental Pllc 386 N Redwood Rd Ste 106 North Salt Lake UT 84054-2795 Ph: (801) 397-5262 | North Salt Lake Dental Pllc 386 N Redwood Rd Ste 106 North Salt Lake UT 84054-2795 Ph: (801) 397-5262 |
| NPI Number | 1447901210 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447901210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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