| Modern Dental Professionals Utah Pc | |
|
420 E South Temple Suite 312 Salt Lake City UT 84111-1319 | |
| (801) 220-0940 | |
| Not Available |
| Full Name | Modern Dental Professionals Utah Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 420 E South Temple, Salt Lake City, Utah |
| Authorized Official Name and Position | Kevin Cahoon (OWNER) |
| Authorized Official Contact | 8012200940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Professionals Utah Pc 420 E South Temple Suite 312 Salt Lake City UT 84111-1319 Ph: (801) 220-0940 | Modern Dental Professionals Utah Pc 420 E South Temple Suite 312 Salt Lake City UT 84111-1319 Ph: (801) 220-0940 |
| NPI Number | 1912066424 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912066424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 139914-9922 (Utah) | Primary |
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