| Dental Associates Of Utah, Pc | |
|
2960 W 3650 S West Valley City UT 84119-4300 | |
| (801) 969-1681 | |
| Not Available |
| Full Name | Dental Associates Of Utah, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2960 W 3650 S, West Valley City, Utah |
| Authorized Official Name and Position | Jack K. Rasmussen (PRESIDENT) |
| Authorized Official Contact | 8019691681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates Of Utah, Pc 2960 W 3650 S West Valley City UT 84119-4300 Ph: (801) 969-1681 | Dental Associates Of Utah, Pc 2960 W 3650 S West Valley City UT 84119-4300 Ph: (801) 969-1681 |
| NPI Number | 1063524296 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063524296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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