Organization
UNIVERSITY OF UTAH DENTAL SERVICES
Active
Parent organization
UNIVERSITY OF UTAH DENTAL SERVICES
Other names
Univ. of Utah Hosp. Plastic Surgery-Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF UTAH DENTAL SERVICES
Authorized official
SEAN MULVIHILL MD (CHIEF MEDICAL OFFICER)
(801) 587-6336
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 213-3900
Mailing address
PO BOX 841450, LOS ANGELES, CA 90084-1450
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
03/16/2015
Last updated
05/21/2020
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