Individual
DAVID THORUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1955 S 1300 E STE L2, SALT LAKE CITY, UT 84105-3675
(801) 828-0210
Mailing address
1955 S 1300 E STE L2, SALT LAKE CITY, UT 84105-3675
(801) 828-0210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10421689-9921
UT
Other
Enumeration date
04/30/2017
Last updated
03/06/2019
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