Organization
RANDY SEAN BARNHISEL DDS, PLLC
Active
Other names
Salt Lake Smile Design
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY BARNHISEL DDS (OWNER)
(801) 262-6811
Entity
Organization
Contact information
Practice address
4970 S 900 E STE G, SALT LAKE CITY, UT 84117-3930
(801) 262-6811
Mailing address
4970 S 900 E STE G, SALT LAKE CITY, UT 84117-3930
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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