Organization
COZY CABIN DENTAL, LLC
Active
Other names
Community Dental Services
Organization subpart
No
Provider details
NPI number
Authorized official
LINSEY DELISLE (OWNER MANAGER)
(801) 349-6566
Entity
Organization
Contact information
Practice address
3755 W 7800 S, WEST JORDAN, UT 84088-8408
(801) 871-5820
Mailing address
4120 S 3340 E, SALT LAKE CITY, UT 84124-3150
(801) 349-6566
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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