Organization
PROFESSIONAL DENTAL SARATOGA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT D HACK (OWNER)
(801) 785-8000
Entity
Organization
Contact information
Practice address
1314 N REDWOOD RD STE 102, SARATOGA SPRINGS, UT 84045-4704
(801) 768-0440
(801) 785-4030
Mailing address
PO BOX 1806, OREM, UT 84059-1806
(801) 785-8000
(801) 785-4030
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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