Organization
UTAH ORAL SURGERY & DENTAL IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMA NAY (MANAGER)
(801) 269-1110
Entity
Organization
Contact information
Practice address
6243 S REDWOOD RD STE 100, SALT LAKE CITY, UT 84123-6408
(801) 269-1110
Mailing address
6243 S REDWOOD RD STE 100, SALT LAKE CITY, UT 84123-6408
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
6216924-9924
UT
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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