Organization
BART T WATTS DDS RANDALL K JOHNSON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BART T WATTS DDS (OWNER)
(801) 572-4404
Entity
Organization
Contact information
Practice address
1434 E 9400 SOUTH, SUITE 200, SANDY, UT 84093
(801) 572-4404
(801) 572-4404
Mailing address
1434 E 9400 SOUTH, SUITE 200, SANDY, UT 84093
(801) 572-4404
(801) 572-4405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1440869922
UT
1223G0001X
General Practice Dentistry
1442799922
UT
1223G0001X
General Practice Dentistry
—
UT
Other
Enumeration date
02/02/2007
Last updated
07/15/2008
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