Organization
SLPD EM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B GUSTAFSON DDS (DENTIST/OWNER)
(801) 676-8899
Entity
Organization
Contact information
Practice address
3688 E CAMPUS DR STE 220, EAGLE MOUNTAIN, UT 84005-4669
(801) 341-7999
Mailing address
3688 E CAMPUS DR STE 220, EAGLE MOUNTAIN, UT 84005-4669
(801) 341-7999
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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