FRESH START DENTAL CENTER

Exclusive Provider Organization

Active Organization
NPI: 1861715005

Practice Address

6287 S REDWOOD RD
Taylorsville, UT 84123

Phone: (801) 313-1144

Specialties

Specialty Code Primary License
Exclusive Provider Organization 302F00000X Yes 12752998-002 (UT)

Frequently Asked Questions

NPI 1861715005 is the National Provider Identifier for FRESH START DENTAL CENTER, a Exclusive Provider Organization provider located in Taylorsville, UT. This NPI was enumerated on March 2, 2010.

Quick Facts

NPI
1861715005
Type
Organization
Enumerated
Mar 2, 2010
Last Updated
Mar 2, 2010

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