Individual
HAILEE RASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1555 E STRATFORD AVE STE 400, SALT LAKE CITY, UT 84106-3692
(385) 500-7082
Mailing address
1960 E CLAYBOURNE AVE, SALT LAKE CITY, UT 84106-4032
(985) 507-3055
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11344038-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DEN.00205781
CO
Other
Enumeration date
07/29/2019
Last updated
10/10/2023
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