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Organization
HULSE DENTISRY LLC
Active
Organization
HULSE DENTISRY LLC
Active
Other names
Salem Smiles Family Dentisry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WENNERHOLM (OFFICE MANAGER)
(801) 423-7969
Entity
Organization
Contact information
Practice address
601 N STATE ROAD 198, SALEM, UT 84653-4504
(801) 423-7969
(801) 504-6158
Mailing address
601 N STATE ROAD 198, SALEM, UT 84653-4504
(801) 423-7969
(801) 504-6158
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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