| Woodland Dental | |
|
204 E 400 N Ste A Salem UT 84653-9320 | |
| (801) 423-0905 | |
| Not Available |
| Full Name | Woodland Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204 E 400 N Ste A, Salem, Utah |
| Authorized Official Name and Position | David Kent Hansen (OWNER/DENTIST) |
| Authorized Official Contact | 8014230905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodland Dental 204 E 400 N Ste A Salem UT 84653-9320 Ph: (801) 423-0905 | Woodland Dental 204 E 400 N Ste A Salem UT 84653-9320 Ph: (801) 423-0905 |
| NPI Number | 1063713444 |
|---|---|
| Provider Enumeration Date | 11/16/2010 |
| Last Update Date | 11/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063713444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6598211 (Utah) | Primary |
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