Organization
DAVID O. LOFTUS D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID O. LOFTUS D.D.S. (PRESIDENT)
(801) 262-7427
Entity
Organization
Contact information
Practice address
865 E 4800 S, SUITE 250, MURRAY, UT 84107-5043
(801) 262-7427
Mailing address
865 E 4800 S, SUITE 250, MURRAY, UT 84107-5043
(801) 262-7427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
141902-9921
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519689040018
—
UT
Enumeration date
04/20/2007
Last updated
08/22/2020
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