Dental Associates Of Utah, Pc

NPI 1063524296 - Dentist - 1223G0001X

NPI Details
NPI 1063524296
Enumeration Date 09/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACK K. JACK
Position PRESIDENT
Phone (801) 969-1681
Fax
Practice Location
2960 W 3650 S
WEST VALLEY CITY UT, 84119-4300, US
Phone (801) 969-1681
Fax
Business Location
2960 W 3650 S
WEST VALLEY CITY UT, 84119-4300, US
Phone (801) 969-1681
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Dental Associates Of Utah, Pc NPI is 1063524296, taxonomy code is 1223G0001X Dental Associates Of Utah, Pc physically located at 2960 W 3650 S, West Valley City UT, 84119-4300. NPI Number 1033115704 has the healthcare provider type.

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1063524296 NPI number is provided on an as is basis without warranty of any kind. 1063524296 is maintained by the National Plan & Provider Enumeration System. The contents of Dental Associates Of Utah, Pc are for informational purposes only.