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1184245474
NIC - SALT LAKE CITY, PLLC
SALT LAKE CITY, UT
NPI
1184245474
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Entity Type
Organization
Authorized Contact
ALEX SWANSON
CEO
801-510-9145
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-04-28
Last Update Date
2020-08-10
Business Address
NIC - SALT LAKE CITY, PLLC
7138 S HIGHLAND DR STE 109
SALT LAKE CITY, UT 84121-3776
Phone number: 801-942-7770
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Mailing Address
NIC - SALT LAKE CITY, PLLC
7138 S HIGHLAND DR STE 109
SALT LAKE CITY, UT 84121-3776
Phone number:
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