# WASATCH PAYROLL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WASATCH PAYROLL LLC
- **Other names:** Four Seasons Dental Care N
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629519723
- **Legal business name:** WASATCH PAYROLL LLC
- **Authorized official:** MRS. MICHELLE LYNN OLSON (PRACTICE MANAGER)
- **Authorized official phone:** (719) 375-1358

## Contact information

- **Practice address:** 3100 N ACADEMY BLVD, 107, COLORADO SPRINGS, CO 80917-5321
- **Practice address phone:** (719) 375-1358
- **Mailing address:** 3100 N ACADEMY BLVD, 107, COLORADO SPRINGS, CO 80917-5321
- **Mailing address phone:** (719) 375-1358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 00202298 | CO | Yes |

## Other

- **Enumeration date:** 03/09/2017
- **Last updated:** 03/09/2017