39TH STREET DENTAL

NPI: 1598999427 · Organization · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

1377 E 3900 S STE 101
SALT LAKE CITY, UT 84124-1489 Map ↗
Phone: 801-272-1199
Fax: 801-272-4639

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice (license: 141706, UT)

NPI Registration

Enumerated: 2009-05-06

Last CMS Update: 2009-05-06