Organization
UNIVERSITY OF UTAH DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN MULVIHILL MD (CHIEF MEDICAL OFFICER)
(801) 587-6336
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-2121
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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