Access Professional Dental Care,llc
NPI #1053734384 in West Valley, Utah
Provider Information
- NPI Number
- 1053734384
- Entity Type
- Organization
- Organization Name
- Access Professional Dental Care,llc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 22, 2014
- Last Updated
- Sep 10, 2014
Practice Location
- Address
- 4577 S 4000 W
- City
- West Valley
- State
- Utah
- ZIP Code
- 84120-6222
- Phone
- (801) 966-0900
Authorized Official
- Name
- MS. LORRI DETRICK
- Title
- CHIEF OPERATING OFFICER
- Phone
- (916) 563-6002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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