Organization
3980 S 700 E DENTAL LLC
Active
Other names
Salt Lake Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALLIS JACOB ZURCHER DDS (OWNER)
(801) 268-8053
Entity
Organization
Contact information
Practice address
622 E 4500 S, STE 201, MURRAY, UT 84107
(801) 268-8053
(801) 268-3247
Mailing address
3980 S 700 E STE 21, MURRAY, UT 84107-2586
(801) 550-5013
(801) 268-3247
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10042413-9921
UT
Other
Enumeration date
01/05/2017
Last updated
08/16/2019
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