WASATCH PERIODONTAL SPECIALISTS LLC

SALT LAKE CITY, UT
NPI1962162412
Entity TypeOrganization
Authorized ContactDANIEL THUNELL
Member
801-783-6249
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist Periodontics
Enumeration Date2021-12-26
Last Update Date2021-12-26
Business Address
WASATCH PERIODONTAL SPECIALISTS LLC
4252 S HIGHLAND DR STE 101
SALT LAKE CITY, UT 84124-2684
Phone number: 801-783-6249
Mailing Address
WASATCH PERIODONTAL SPECIALISTS LLC
4252 S HIGHLAND DR STE 101
SALT LAKE CITY, UT 84124-2684
Phone number: 801-783-6249
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