Woodland Dental

NPI #1063713444 in Salem, Utah

Provider Information

NPI Number: 1063713444
Entity Type: Organization
Organization Name: Woodland Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 16, 2010
Last Updated: Nov 16, 2010

Practice Location

Address: 204 E 400 N STE A
City: Salem
State: Utah
ZIP Code: 84653-9320
Phone: (801) 423-0905

Authorized Official

Name: DR. DAVID KENT HANSEN, D.M.D
Title: OWNER/DENTIST
Phone: (801) 423-0905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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