Individual
MARC ENSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1685 W TOWNE CENTER DR STE A2, SOUTH JORDAN, UT 84095-8697
(801) 254-7003
Mailing address
1685 W TOWNE CENTER DR STE A2, SOUTH JORDAN, UT 84095-8697
(801) 254-7003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9823057-9922
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2016
Last updated
04/11/2022
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