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Organization

NELSON & TILLMANN FAMILY DENTISTRY, PC

Active
Other names
Nelson & Tillmann Family Dentistry, P.L.L.C.
Organization subpart
No

Provider details

NPI number
Authorized official
MCLEAN BODDY (OFFICE MANAGER)
(801) 281-8433
Entity
Organization

Contact information

Practice address
5872 S. 900 E. STE 202, SALT LAKE CITY, UT 84121
(801) 281-8433
(801) 281-8455
Mailing address
5872 S 900 E STE 202, SALT LAKE CITY, UT 84121-1682
(801) 281-8433
(801) 281-8455

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7579281
UT

Other

Enumeration date
06/07/2017
Last updated
07/21/2022
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