| NPI | 1538518410 |
|---|---|
| Doing Business As | SLC FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT PALMER President 801-355-6997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 7261542-9922) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |