Organization
UNIVERSITY OF UTAH DENTAL SERVICES
Active
Parent organization
UNIVERSITY OF UTAH DENTAL SERVICES
Other names
Univ. of Utah Hospital Otolaryngology-Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF UTAH DENTAL SERVICES
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, PO, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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