Organization
IHC HEALTH SERVICES INC
Active
Other names
Primary Children's Hospital Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KATY WELKIE (CEO/ADMINISTRATOR)
(801) 662-6225
Entity
Organization
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-3900
(801) 662-3908
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 662-1621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
04/19/2016
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