| Salt Lake Family Dental | |
|
622 E 4500 S Ste 201 Murray UT 84107 | |
| (801) 268-8053 | |
| (801) 268-3247 |
| Full Name | Salt Lake Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 622 E 4500 S, Murray, Utah |
| Authorized Official Name and Position | Dallis Jacob Zurcher (OWNER) |
| Authorized Official Contact | 8012688053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Lake Family Dental 3980 S 700 E Ste 21 Murray UT 84107-2586 Ph: (801) 550-5013 | Salt Lake Family Dental 622 E 4500 S Ste 201 Murray UT 84107 Ph: (801) 268-8053 |
| NPI Number | 1376088906 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 08/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376088906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10042413-9921 (Utah) | Primary |
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