Organization
ABUNDANT IMPLANT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE SULLIVAN (VP OF FINANCE)
(801) 550-3901
Entity
Organization
Contact information
Practice address
795 EAST WINCHESTER STREET, MURRAY, UT 84107
(801) 849-1045
(801) 304-3151
Mailing address
793 E WINCHESTER ST, MURRAY, UT 84107-7564
(801) 849-1045
(801) 304-3151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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