DR. Mitzi M Wasden, DDS
NPI #1184622565 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1184622565
- Entity Type
- Individual
- Name
- DR. Mitzi M Wasden, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- Jul 11, 2005
- Last Updated
- Aug 29, 2024
Practice Location
- Address
- 100 N MARIO CAPECCHI DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84113-1103
- Phone
- (801) 662-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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