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Organization
ABUNDANT DENTAL CARE, P.C.
Active
Organization
ABUNDANT DENTAL CARE, P.C.
Active
Parent organization
ABUNDANT DENTAL CARE
Other names
Abundant Dental Care in Holladay
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABUNDANT DENTAL CARE
Authorized official
TRACIE SULLIVAN (ACCOUNTS RECEIVABLE, DIRECTOR)
(801) 849-1045
Entity
Organization
Contact information
Practice address
1548 E 4500 S #104, HOLLADAY, UT 84117
(801) 272-8051
Mailing address
1548 E 4500 S #104, HOLLADAY, UT 84117
(801) 272-8051
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
06/29/2021
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