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1710095781
GENESIS DENTAL OF SALT LAKE, LLC
SALT LAKE CITY, UT
NPI
1710095781
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Entity Type
Organization
Authorized Contact
JASON D CASTO
Owner/Member
801-870-0625
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-08-29
Last Update Date
2024-03-26
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
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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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