Individual
MELISSA L NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
785 E 200 S STE 1, LEHI, UT 84043-2291
(435) 215-1395
Mailing address
1445 E CHATEAU RIDGE WAY, SANDY, UT 84092-4600
(763) 300-8526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12231482-9923
UT
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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