Individual
MICHALA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 W 400 S, SALT LAKE CITY, UT 84101-1135
(801) 364-0058
Mailing address
409 W 400 S, SALT LAKE CITY, UT 84101-1135
(801) 364-0058
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9808010-920
UT
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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