Holladay Dental Studio Pllc

NPI #1821602137 in Holladay, Utah

Provider Information

NPI Number: 1821602137
Entity Type: Organization
Organization Name: Holladay Dental Studio Pllc
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Sep 3, 2020
Last Updated: Sep 3, 2020

Practice Location

Address: 4888 S HIGHLAND DR
City: Holladay
State: Utah
ZIP Code: 84117-6007
Phone: (801) 277-9213

Authorized Official

Name: ANDREW ERICKSEN, DDS
Title: OWNER
Phone: (801) 277-9213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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