Individual
DR. MATTHEW BIRDSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2453 S WILDCAT WAY STE A, WOODS CROSS, UT 84010-8292
(385) 526-5812
Mailing address
351 W 800 N UNIT 7, SALT LAKE CITY, UT 84103-1002
(985) 258-7662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13980783-9926
UT
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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