Organization
BURG FAMILY & COSMETIC DENTSITRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCI NICOL (VP OF OPERATIONS)
(801) 918-4135
Entity
Organization
Contact information
Practice address
7138 S HIGHLAND DR, STE 216, SALT LAKE CITY, UT 84121-3757
(801) 918-4135
Mailing address
7138 S HIGHLAND DR, STE 216, SALT LAKE CITY, UT 84121-3757
(801) 918-4135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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