STATE OF UTAH, DEPARTMENT OF HEALTH

SALT LAKE CITY, UT
NPI1437252491
Doing Business AsFAMILY DENTAL PLAN
Entity TypeOrganization
Authorized ContactDAVID SUNDWALL
Executive Director
801-538-6111
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2006-09-06
Last Update Date2020-08-22
Business Address
STATE OF UTAH, DEPARTMENT OF HEALTH
SALT LAKE CLINIC - FAMILY DENTAL PLAN 3195 SOUTH MAIN STREET, SUITE 200
SALT LAKE CITY, UT 84114
Phone number: 801-468-0342
Mailing Address
STATE OF UTAH, DEPARTMENT OF HEALTH
288 NORTH 1460 WEST P.O. BOX 143107
SALT LAKE CITY, UT 84114-3107
Phone number: 801-538-6111