Individual
RICHARD WANGSGARSD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
530 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 581-8951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9554504-9922
UT
Other
Enumeration date
04/12/2015
Last updated
05/05/2022
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