Smithdmd
Clinic/Center, Dental in Layton, UT. Organization (NPI-2).
NPI number1275926362
StatusActive
Last updated in NPPESMar 12, 2015
Details
- NPI
- 1275926362
- Entity type
- Organization (NPI-2)
- Legal business name
- Smithdmd
- Organization subpart
- No
- Enumeration date
- Mar 12, 2015
- Last updated
- Mar 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 4909855-9922 | UT | Yes |
Other names
- Davis Dental Care (Former Legal Business Name)
Practice location
1133 N Main StLower Mezzanine
Layton, UT 84041-4800
Phone 801-546-0931
Mailing address
1133 N Main StLower Mezzanine
Layton, UT 84041-4800
Phone 801-546-0931
Authorized official
Hans Dalan Smith
Owner
4358491914
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