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Organization
MATSUMORI DENTAL, PLLC
Active
Organization
MATSUMORI DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN T MATSUMORI (OWNER/DENTIST)
(801) 571-8391
Entity
Organization
Contact information
Practice address
870 E 9400 S STE 110, SANDY, UT 84094-3689
(801) 571-8391
(801) 571-8285
Mailing address
870 E 9400 S STE 110, SANDY, UT 84094-3689
(801) 571-8391
(801) 571-8285
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7987460-9921
UT
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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