Individual
DR. CHAD S BURT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
204 E FORT UNION BLVD, SUITE 101, MIDVALE, UT 84047
(801) 255-3578
(801) 569-8275
Mailing address
204 E FT UNION BLVD, SUITE 101, MIDVALE, UT 84047
(801) 255-3578
(801) 569-8275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1453659922
UT
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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