Abundant Dental Care, P.c.

NPI #1063052256 in Holladay, Utah

Provider Information

NPI Number
1063052256
Entity Type
Organization
Organization Name
Abundant Dental Care, P.c.
Subpart
Yes (part of a larger organization)
Parent Organization
ABUNDANT DENTAL CARE
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Jan 15, 2020
Last Updated
Jun 29, 2021

Practice Location

Address
1548 E 4500 S #104
State
Utah
ZIP Code
84117
Phone
(801) 272-8051

Authorized Official

Name
TRACIE SULLIVAN
Title
ACCOUNTS RECEIVABLE, DIRECTOR
Phone
(801) 849-1045

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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