Cda Practice LLC

NPI #1295424232 in Draper, Utah

Provider Information

NPI Number
1295424232
Entity Type
Organization
Organization Name
Cda Practice LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 4, 2023
Last Updated
May 4, 2023

Practice Location

Address
11978 S 700 E STE 101
City
Draper
State
Utah
ZIP Code
84020-9818
Phone
(801) 352-7002

Authorized Official

Name
LOGAN LOCKE, DDS
Title
DENTIST/OWNER
Phone
(801) 755-9243

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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