Van Leeuwen Dental, Llc

NPI 1831346527 - Clinic/Center - 261QD0000X

NPI Details
NPI 1831346527
Enumeration Date 08/25/2008
Last Updated 08/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MICHAEL LEE MICHAEL
Position DENTIST/OWNER
Phone (801) 943-1612
Fax (801) 942-6008
Practice Location
6936 PROMENADE DR
#201
SALT LAKE CITY UT, 84121-3391, US
Phone (801) 943-1612
Fax (801) 942-6008
Business Location
6936 SOUTH PROMENADE DR.
#201
SALT LAKE CITY UT, 84121, US
Phone (801) 943-1612
Fax (801) 942-6008
Toxanomy
Taxonomy Code 261QD0000X
License State Utah
License Number 138074
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According to our database, Van Leeuwen Dental, Llc NPI is 1831346527, taxonomy code is 261QD0000X and license number is 138074, license state is located at Utah. Van Leeuwen Dental, Llc physically located at 6936 Promenade Dr, Salt Lake City UT, 84121-3391. NPI Number 1033115704 has the healthcare provider type.

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1831346527 NPI number is provided on an as is basis without warranty of any kind. 1831346527 is maintained by the National Plan & Provider Enumeration System. The contents of Van Leeuwen Dental, Llc are for informational purposes only.