Organization
IZZY INC.
Active
Parent organization
IZZY INC.
Other names
The Center of Dental Professionals
Organization subpart
Yes
Provider details
NPI number
Legal business name
IZZY INC.
Authorized official
MS. CHRISTIE MARIE MCCUTCHAN (OWNER)
(801) 747-8012
Entity
Organization
Contact information
Practice address
530 E 500 S, SALT LAKE CITY, UT 84102
(801) 747-8000
(801) 747-8001
Mailing address
530 E 500 S, SALT LAKE CITY, UT 84102
(801) 747-8000
(801) 747-8001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022824566005
—
UT
05
—
1114118601
—
UT
05
—
278683018001
—
UT
05
—
5295997150001
—
UT
Enumeration date
04/04/2008
Last updated
07/24/2008
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