GENESIS DENTAL OF SALT LAKE, LLC

SALT LAKE CITY, UT
NPI1710095781
Entity TypeOrganization
Authorized ContactJASON D CASTO
Owner/Member
801-870-0625
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2006-08-29
Last Update Date2024-03-26
Business Address
GENESIS DENTAL OF SALT LAKE, LLC
420 E SOUTH TEMPLE STE 220
SALT LAKE CITY, UT 84111-1329
Phone number: 801-355-3286
Mailing Address
GENESIS DENTAL OF SALT LAKE, LLC
12180 S 300 E UNIT 270
DRAPER, UT 84020-2612
Phone number: 801-870-0625
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