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1548481997
GREGORY SANSOM
SALT LAKE CITY, UT
NPI
1548481997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 143240-9921)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. GREGORY SANSOM D.D.S.
2036 S 1300 E STE A
SALT LAKE CITY, UT 84105-3692
Phone number: 801-467-6381
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Mailing Address
Dr. GREGORY SANSOM D.D.S.
2036 S 1300 E STE A
SALT LAKE CITY, UT 84105-3692
Phone number: 801-467-6381
Copy
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