Individual
MADISON DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3001 S RICHMOND ST UNIT A, SALT LAKE CITY, UT 84106-3005
(801) 467-6555
Mailing address
3001 S RICHMOND ST UNIT A, SALT LAKE CITY, UT 84106-3005
(801) 467-6555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11531780-9924
UT
Other
Enumeration date
04/05/2019
Last updated
03/07/2024
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