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Organization
UNIVERSITY OF UTAH DENTAL SERVICES
Active
Organization
UNIVERSITY OF UTAH DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN MULVIHILL MD (CHIEF MEDICAL OFFICER)
(801) 587-6336
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-2121
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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