PRO SMILES UTAH LLC

SOUTH JORDAN, UT
NPI1821621129
Entity TypeOrganization
Authorized ContactTANNER M CLARK
Owner/Dentist
801-413-2814
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2020-02-15
Last Update Date2020-02-15
Business Address
PRO SMILES UTAH LLC
10597 S BEACH COMBER WAY
SOUTH JORDAN, UT 84009-6132
Phone number: 801-413-2814
Mailing Address
PRO SMILES UTAH LLC
10597 S BEACH COMBER WAY
SOUTH JORDAN, UT 84009-6132
Phone number: 208-317-8555
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