Organization
NOVA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER COOPER (OPERATIONS MANAGER)
(801) 652-7488
Entity
Organization
Contact information
Practice address
7138 S HIGHLAND DR STE 214, SALT LAKE CITY, UT 84121-3783
(801) 942-7770
(801) 733-5226
Mailing address
7138 S HIGHLAND DR STE 214, SALT LAKE CITY, UT 84121-3783
(801) 942-7770
(801) 733-5226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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