Fresh Start Dental Center
Fresh Start Dental Center is an Exclusive Provider Organization in Taylorsville, Utah. Licensed in Utah. Registered with an NPI since 2010.
- Licensed in
- UT
- In the registry since
- 2010
Practice location Address checks out
6287 S Redwood RdTaylorsville, UT 84123-6634
Phone: (801) 313-1144
Fax: (801) 313-1141
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 12752998-002 (UT) |
|---|
Record details
| NPI number | 1861715005 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Whitehouse — Ceo · (801) 598-3333 |
| NPI enumerated | March 2, 2010 |
| Last updated in NPPES | March 2, 2010 |
| Mailing address | 6287 S Redwood Rd, Taylorsville, UT 84123-6634 |