| NPI | 1376088906 |
|---|---|
| Doing Business As | SALT LAKE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DALLIS JACOB ZURCHER Owner 801-268-8053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 10042413-9921) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2019-08-16 |