Organization
APEX FAMILY & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACIE L SULLIVAN (FINANCIAL MANAGER)
(801) 748-0379
Entity
Organization
Contact information
Practice address
12391 S 4000 W, SUITE 206, RIVERTON, UT 84096-7012
(801) 748-0379
(801) 542-8188
Mailing address
12391 S 4000 W, SUITE 206, RIVERTON, UT 84096-7012
(801) 748-0379
(801) 542-8188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
UT
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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