Organization
LC DENTAL CARE LLC
Active
Other names
Old Farm Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA DELAHUNT (OWNER/MANAGER)
(801) 288-1888
Entity
Organization
Contact information
Practice address
3970 S 700 E, SUITE 17, SALT LAKE CITY, UT 84107-2191
(801) 288-1888
(801) 288-1333
Mailing address
3970 S 700 E, SUITE 17, SALT LAKE CITY, UT 84107-2191
(801) 288-1888
(801) 288-1333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/10/2006
Last updated
08/22/2020
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