Four Seasons Dental LLC
NPI #1417305483 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1417305483
- Entity Type
- Organization
- Organization Name
- Four Seasons Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 31, 2016
- Last Updated
- Jun 2, 2016
Practice Location
- Address
- 4465 S 900 E
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84124-2469
- Phone
- (801) 281-0100
Authorized Official
- Name
- ERIC S SMITH
- Title
- OWNER
- Phone
- (801) 281-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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