Organization
ABUNDANT IMPLANT SERVICES
Active
Parent organization
ABUNDANT IMPLANT SERVICES
Other names
Abundant Implant Services of Murray
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABUNDANT IMPLANT SERVICES
Authorized official
TRACIE SULLIVAN (VP OF FINANCE)
(801) 550-3901
Entity
Organization
Contact information
Practice address
795 EAST WINCHESTER STREET, MURRAY, UT 84107
(801) 849-1045
(801) 304-3151
Mailing address
793 E WINCHESTER ST, MURRAY, UT 84107-7564
(801) 849-1045
(801) 304-3151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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