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1053627844
ERIC MICHAEL VISSER
SALT LAKE CITY, UT
NPI
1053627844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ME RES2)
Enumeration Date
2010-08-31
Last Update Date
2013-02-08
Business Address
-- ERIC MICHAEL VISSER DMD
1060 E 100 S STE 205
SALT LAKE CITY, UT 84102-1691
Phone number: 801-355-3286
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Mailing Address
-- ERIC MICHAEL VISSER DMD
668 S BRIXEN CT
SALT LAKE CITY, UT 84102-3910
Phone number: 801-836-1290
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