Organization
SALT LAKE CITY DENTAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGHAM STOKER DDS (OWNER)
(801) 803-4159
Entity
Organization
Contact information
Practice address
144 S 700 E, SALT LAKE CITY, UT 84102-1357
(801) 505-6850
Mailing address
144 S 700 E, SALT LAKE CITY, UT 84102-1357
(801) 505-6850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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