| Slpd Em, Llc | |
|
3688 E Campus Dr Ste 220 Eagle Mountain UT 84005-4669 | |
| (801) 341-7999 | |
| Not Available |
| Full Name | Slpd Em, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3688 E Campus Dr Ste 220, Eagle Mountain, Utah |
| Authorized Official Name and Position | David B Gustafson (DENTIST/OWNER) |
| Authorized Official Contact | 8016768899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Slpd Em, Llc 3688 E Campus Dr Ste 220 Eagle Mountain UT 84005-4669 Ph: (801) 341-7999 | Slpd Em, Llc 3688 E Campus Dr Ste 220 Eagle Mountain UT 84005-4669 Ph: (801) 341-7999 |
| NPI Number | 1710805528 |
|---|---|
| Provider Enumeration Date | 07/08/2026 |
| Last Update Date | 07/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710805528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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