Individual
DAVID JOSHUA DE LAZZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3060 S REDWOOD RD, WEST VALLEY CITY, UT 84119-3058
(801) 972-0555
Mailing address
489 E 400 S APT 515, SALT LAKE CITY, UT 84111-3085
(801) 440-6448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13484021-9921
UT
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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