Individual
DANIEL MIRCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2090 E 2100 S, SALT LAKE CITY, UT 84109-1152
(801) 487-3836
Mailing address
3343 S 3040 E, SALT LAKE CITY, UT 84109-3169
(801) 425-6711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8698624-9924
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2013
Last updated
08/24/2024
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