Organization
WASATCH DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW CHARLES OLSON D.D.S. (PRESIDENT)
(801) 486-2800
Entity
Organization
Contact information
Practice address
2936 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84106-3585
(801) 486-2800
Mailing address
2936 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84106-3585
(801) 486-2800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9286307
UT
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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