Abundant Dental Care, P.c.

NPI #1306499249 in Herriman, Utah

Provider Information

NPI Number: 1306499249
Entity Type: Organization
Organization Name: Abundant Dental Care, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: ABUNDANT DENTAL CARE, P.C.
Primary Specialty: Dentist
Enumeration Date: Jul 19, 2019
Last Updated: Jun 29, 2021

Practice Location

Address: 5089 WEST 12600 SOUTH
City: Herriman
State: Utah
ZIP Code: 84096
Phone: (801) 865-2725

Authorized Official

Name: ANNMARIE WILSON
Title: EXECUTIVE
Phone: (540) 419-9422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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