Organization
HOLLADAY CENTER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS B LAFEBER DMD (OWNER DOCTOR)
(801) 277-9213
Entity
Organization
Contact information
Practice address
2160 E 4500 S STE 3, HOLLADAY, UT 84117-4499
(801) 277-9213
(801) 277-0956
Mailing address
2160 E 4500 S STE 3, HOLLADAY, UT 84117-4499
(801) 277-9213
(801) 277-0956
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
320562
UT
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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