Organization
SACRED CIRCLE HEALTH CARE
Active
Parent organization
CONFEDERATED TRIBE OF THE GOSHUTES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONFEDERATED TRIBE OF THE GOSHUTES
Authorized official
DR. DAVE JAY HADLEY DMD (VICE PRESIDENT)
(801) 669-1607
Entity
Organization
Contact information
Practice address
660 S 200 E, #250, SALT LAKE CITY, UT 84111-3835
(801) 359-2256
(801) 364-4392
Mailing address
660 S 200 E, #250, SALT LAKE CITY, UT 84111-3835
(801) 359-2256
(801) 364-4392
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
201203834
UT
Other
Enumeration date
10/16/2012
Last updated
05/30/2013
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