Organization
SDS DENTAL LLC
Active
Other names
Canyon Rim Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FESLER (OFFICE MANAGER)
(801) 486-3887
Entity
Organization
Contact information
Practice address
2560 E 3300 S STE 200, SALT LAKE CITY, UT 84109-2749
(801) 486-3887
Mailing address
2560 E 3300 S STE 200, SALT LAKE CITY, UT 84109-2749
(801) 486-3887
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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