Mdg- Saltlake City Dental
NPI #1205661543 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1205661543
- Entity Type
- Organization
- Organization Name
- Mdg- Saltlake City Dental
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Sep 5, 2024
- Last Updated
- Sep 5, 2024
Practice Location
- Address
- 440 W 200 S STE 275
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84101-1464
- Phone
- (801) 321-7600
Authorized Official
- Name
- ROBERT KELLEN MCWHORTER, MD
- Title
- DENTIST
- Phone
- (801) 358-8175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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