Organization
LILAC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIRA OVESON DDS (OWNER)
(801) 828-5315
Entity
Organization
Contact information
Practice address
1408 S 1100 E STE A, SALT LAKE CITY, UT 84105-2400
(801) 828-5315
Mailing address
1408 S 1100 E STE A, SALT LAKE CITY, UT 84105-2400
(801) 828-5315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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