Individual
DANE PARKE MULLINAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
831 S 700 E, SALT LAKE CITY, UT 84102-3505
(801) 691-6463
Mailing address
831 S 700 E, SALT LAKE CITY, UT 84102-3505
(801) 691-6463
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9317729
UT
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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