Over the Road Dental
Over the Road Dental is a General Practice Dentistry in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
Practice location Address checks out
1953 W California AveSalt Lake City, UT 84104
Phone: (801) 886-9341
Fax: (801) 886-1786
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 143681-9922 (UT) |
|---|
Record details
| NPI number | 1912014234 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angie Breeze — Office Manager · (801) 886-9341 |
| Other names | Michel B. Haynie |
| NPI enumerated | August 23, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 271069, Salt Lake City, UT 84127-1069 |
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