North Salt Lake Dental Pllc
NPI #1447901210 in North Salt Lake, Utah
Provider Information
- NPI Number
- 1447901210
- Entity Type
- Organization
- Organization Name
- North Salt Lake Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 13, 2022
- Last Updated
- Jan 13, 2022
Practice Location
- Address
- 386 N REDWOOD RD STE 106
- City
- North Salt Lake
- State
- Utah
- ZIP Code
- 84054-2795
- Phone
- (801) 397-5262
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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