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1457911513
SAMUEL DASTRUP
SALT LAKE CITY, UT
NPI
1457911513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 11262405-9921)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
Dr. SAMUEL DASTRUP
1377 E 3900 S STE 202
SALT LAKE CITY, UT 84124-1495
Phone number: 801-278-2817
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Mailing Address
Dr. SAMUEL DASTRUP
1055 S 540 W
LEHI, UT 84043-4043
Phone number: 801-821-8982
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