Individual
BANSEH NAEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7069 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84121-3731
(801) 292-0443
Mailing address
213 W CIVIC CENTER DR APT 466, SANDY, UT 84070-1307
(248) 990-3270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12804029-9923
UT
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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