Organization
SALT CITY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BLAKE HILLSTEAD DDS (OWNER/PARTNER)
(801) 900-4748
Entity
Organization
Contact information
Practice address
11962 S ANTHEM PARK BLVD STE 150, HERRIMAN, UT 84096-5692
(801) 900-4748
Mailing address
11962 S ANTHEM PARK BLVD STE 150, HERRIMAN, UT 84096-5692
(801) 900-4748
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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