12465 S Fort St Draper Dental LLC

NPI #1790593051 in Draper, Utah

Provider Information

NPI Number
1790593051
Entity Type
Organization
Organization Name
12465 S Fort St Draper Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 19, 2024
Last Updated
Dec 19, 2024

Practice Location

Address
12465 S FORT ST STE 100
City
Draper
State
Utah
ZIP Code
84020-8354
Phone
(801) 576-1167

Authorized Official

Name
DR. DALLIS JACOB ZURCHER, DDS
Title
DOCTOR
Phone
(801) 550-5013

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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