Individual
MACKENZIE ANN FERINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 S 1300 E STE L2, SALT LAKE CITY, UT 84105-3675
(385) 479-9636
Mailing address
1955 S 1300 E STE L2, SALT LAKE CITY, UT 84105-3675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
FF1490402
UT
Other
Enumeration date
03/09/2021
Last updated
06/17/2022
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