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1700409695
WASATCH DENTAL GROUP LLC
SOUTH JORDAN, UT
NPI
1700409695
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Entity Type
Organization
Authorized Contact
DANE J NELSON
Owner/Partner/Dentist
801-254-7003
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2020-05-26
Last Update Date
2020-05-26
Business Address
WASATCH DENTAL GROUP LLC
1685 W TOWNE CENTER DR
SOUTH JORDAN, UT 84095-8697
Phone number: 801-254-7003
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Mailing Address
WASATCH DENTAL GROUP LLC
1685 W TOWNE CENTER DR
SOUTH JORDAN, UT 84095-8697
Phone number: 801-254-7003
Copy
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