Organization
APEX FAMILY & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACIE L SULLIVAN (FINANCIAL MANAGER)
(801) 677-2739
Entity
Organization
Contact information
Practice address
1227 W 9000 S, SUITE E, WEST JORDAN, UT 84088-9001
(801) 677-2739
(801) 676-0840
Mailing address
1227 W 9000 S, SUITE E, WEST JORDAN, UT 84088-9001
(801) 677-2739
(801) 676-0840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
UT
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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