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Organization

CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

Active
Parent organization
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Authorized official
LINDA THATCHER (BILLING)
(801) 359-2256
Entity
Organization

Contact information

Practice address
660 S 200 E STE 250, SALT LAKE CITY, UT 84111-3846
(801) 359-2256
Mailing address
660 S 200 E STE 250, SALT LAKE CITY, UT 84111-3846
(801) 359-2256

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/17/2013
Last updated
12/11/2025
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