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1386143857
DENTICARE, LLC
SOUTH JORDAN, UT
NPI
1386143857
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Entity Type
Organization
Authorized Contact
TANNER M CLARK
Owner
208-317-8555
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2018-02-09
Last Update Date
2018-02-09
Business Address
DENTICARE, LLC
10597 S BEACH COMBER WAY
SOUTH JORDAN, UT 84009-6132
Phone number: 801-447-5022
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Mailing Address
DENTICARE, LLC
10597 S BEACH COMBER WAY
SOUTH JORDAN, UT 84009-6132
Phone number: 208-317-8555
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