Organization
GRACE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUN K KIM (PRESIDENT)
(801) 262-0915
Entity
Organization
Contact information
Practice address
4010 S 700 E STE 5, SALT LAKE CITY, UT 84107-2575
(801) 262-0915
(801) 262-0812
Mailing address
4010 S 700 E #5, SALT LAKE CITY, UT 84107
(801) 262-0915
(801) 262-0812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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