Organization
SEALANTS FOR SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER J ADAMS DMD, MS, MBA (CEO/PRESIDENT)
(801) 313-7051
Entity
Organization
Contact information
Practice address
5373 GREEN ST, SUITE 400, SALT LAKE CITY, UT 84123-4680
(801) 313-7051
(801) 290-5126
Mailing address
5373 GREEN ST, SUITE 400, SALT LAKE CITY, UT 84123-4680
(801) 313-7051
(801) 290-5126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
140656-9924
UT
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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