Organization
ACCESS PROFESSIONAL DENTAL CARE,LLC
Active
Other names
Blue Hills Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRI DETRICK (CHIEF OPERATING OFFICER)
(916) 563-6002
Entity
Organization
Contact information
Practice address
4115 RIVERDALE RD STE B, RIVERDALE, UT 84405-3509
(801) 940-5555
(385) 206-8383
Mailing address
8890 CAL CENTER DR, SACRAMENTO, CA 95826-3200
(916) 922-5000
(916) 646-9000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
UT
Other
Enumeration date
04/09/2014
Last updated
09/10/2014
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