Organization
39TH STREET DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN C. PINEGAR D.D.S. (DOCTER)
(801) 272-1199
Entity
Organization
Contact information
Practice address
1377 E 3900 S STE 101, SALT LAKE CITY, UT 84124-1489
(801) 272-1199
(801) 272-4639
Mailing address
1377 E 3900 S STE 101, SALT LAKE CITY, UT 84124-1489
(801) 272-1199
(801) 272-4639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
141706
UT
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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