Individual
DR. MICHAEL LEE VANLEEUWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6936 S PROMENADE DR STE 201, SALT LAKE CITY, UT 84121-3365
(801) 943-1612
(801) 942-6008
Mailing address
6936 S PROMENADE DR STE 201, SALT LAKE CITY, UT 84121-3365
(801) 943-1612
(801) 942-6008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
138074-9922
UT
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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