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1235977240
PROFESSIONAL DENTAL SLC LLC
SALT LAKE CITY, UT
NPI
1235977240
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Entity Type
Organization
Authorized Contact
ROBERT D HACK
Owner
801-636-0110
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-07-16
Last Update Date
2024-07-19
Business Address
PROFESSIONAL DENTAL SLC LLC
1632 W 700 N STE A-1
SALT LAKE CITY, UT 84116-1903
Phone number: 801-785-8000
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Mailing Address
PROFESSIONAL DENTAL SLC LLC
PO BOX 1806
OREM, UT 84059-1806
Phone number: 801-785-8000
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