Organization
ROCKY MOUNTAIN ENDODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL MADSEN DDS (ENDODONTIST)
(801) 942-8686
Entity
Organization
Contact information
Practice address
5334 S WOODROW ST # 201, SALT LAKE CITY, UT 84107-5838
(801) 833-6995
(801) 281-1980
Mailing address
5334 S WOODROW ST # 201, SALT LAKE CITY, UT 84107-5838
(801) 833-6995
(801) 281-1980
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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