Family Dental Care

NPI #1578196861 in South Salt Lake, Utah

Provider Information

NPI Number: 1578196861
Entity Type: Organization
Organization Name: Family Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 15, 2020
Last Updated: Feb 15, 2020

Practice Location

Address: 2500 S STATE ST # 404
City: South Salt Lake
State: Utah
ZIP Code: 84115-3164
Phone: (385) 646-4747

Authorized Official

Name: DR. TANNER M. CLARK, DMD
Title: DIRECTOR/MANAGER/DENTIST
Phone: (208) 317-8555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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