Organization
DENTACOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN WILSON (CEO)
(801) 960-8945
Entity
Organization
Contact information
Practice address
7127 S 400 W STE 10, MIDVALE, UT 84047-1059
(801) 701-3368
Mailing address
2021 E VILLAGE GREEN CIR STE 33, DRAPER, UT 84020-5500
(801) 701-3368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/07/2025
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