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Organization
SUGARHOUSE DENTAL INC
Active
Organization
SUGARHOUSE DENTAL INC
Active
Parent organization
SUGARHOUSE DENTAL INC
Other names
Sleep Well Utah
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUGARHOUSE DENTAL INC
Authorized official
DR. JASON KIRKLAND GRAHAM DDS (OWNER)
(801) 671-6359
Entity
Organization
Contact information
Practice address
620 E 2100 S, SALT LAKE CITY, UT 84106
(801) 671-6359
Mailing address
620 E 2100 S, SALT LAKE CITY, UT 84106-1828
(801) 671-6359
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
4954595
UT
Other
Enumeration date
04/10/2018
Last updated
07/11/2018
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