Organization
ORAL & FACIAL RECONSTRUCTIVE SURGEONS OF UTAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN GRANT ADAMS MD, DMD (CO-OWNER, SURGEON)
(801) 262-7447
Entity
Organization
Contact information
Practice address
1250 E 3900 S STE 360, SALT LAKE CITY, UT 84124-1362
(801) 262-7447
Mailing address
1250 E 3900 S STE 360, SALT LAKE CITY, UT 84124-1362
(801) 262-7447
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7961990-1205
UT
Other
Enumeration date
04/04/2012
Last updated
11/12/2024
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