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1295424232
CDA PRACTICE LLC
DRAPER, UT
NPI
1295424232
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Entity Type
Organization
Authorized Contact
LOGAN LOCKE
Dentist/Owner
801-755-9243
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-05-04
Last Update Date
2023-05-04
Business Address
CDA PRACTICE LLC
11978 S 700 E STE 101
DRAPER, UT 84020-9818
Phone number: 801-352-7002
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Mailing Address
CDA PRACTICE LLC
11978 S 700 E STE 101
DRAPER, UT 84020-9818
Phone number: 801-352-7002
Copy
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