Organization
HULSE DENTISRY LLC
Active
Other names
Salem Smiles Family Dentisry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WENNERHOLM (OFFICE MANAGER)
(801) 423-7969
Entity
Organization
Contact information
Practice address
601 N STATE ROAD 198, SALEM, UT 84653-4504
(801) 423-7969
(801) 504-6158
Mailing address
601 N STATE ROAD 198, SALEM, UT 84653-4504
(801) 423-7969
(801) 504-6158
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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