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Organization
WASATCH PAYROLL LLC
Active
Organization
WASATCH PAYROLL LLC
Active
Parent organization
WASATCH PAYROLL LLC
Other names
Four Seasons Dental Care N
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASATCH PAYROLL LLC
Authorized official
MRS. MICHELLE LYNN OLSON (PRACTICE MANAGER)
(719) 375-1358
Entity
Organization
Contact information
Practice address
3100 N ACADEMY BLVD, 107, COLORADO SPRINGS, CO 80917-5321
(719) 375-1358
Mailing address
3100 N ACADEMY BLVD, 107, COLORADO SPRINGS, CO 80917-5321
(719) 375-1358
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
00202298
CO
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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