Sandy Modern Dentistry, LLP

NPI #1720649098 in Sandy, Utah

Provider Information

NPI Number: 1720649098
Entity Type: Organization
Organization Name: Sandy Modern Dentistry, LLP
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 26, 2019
Last Updated: Jun 26, 2019

Practice Location

Address: 65 E 10600 S STE 104
City: Sandy
State: Utah
ZIP Code: 84070-4124
Phone: (801) 305-3736

Authorized Official

Name: ADAM BURR
Title: OWNER
Phone: (714) 845-8500

Specialties & Taxonomy Codes

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

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