Organization
COMPLETE SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE SPENCER (OPERATIONS MANAGER)
(801) 943-9090
Entity
Organization
Contact information
Practice address
5481 W 7800 S STE 150, WEST JORDAN, UT 84081-6030
(801) 943-9090
Mailing address
5481 W 7800 S STE 150, WEST JORDAN, UT 84081-6030
(801) 943-9090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11648624
GENERAL DENTIST
UT
01
—
12205341
GENERAL DENTIST
UT
Enumeration date
08/09/2022
Last updated
08/09/2022
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