Organization
SANDY MODERN DENTISTRY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM BURR (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
65 E 10600 S STE 104, SANDY, UT 84070-4124
(801) 305-3736
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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