Dr. Thomas J. Allen PC
Clinic/Center, Dental in Salt Lake City, UT. Organization (NPI-2).
NPI number1780121798
StatusActive
Last updated in NPPESJan 27, 2017
Details
- NPI
- 1780121798
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Thomas J. Allen PC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2017
- Last updated
- Jan 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 9332582-9921 | UT | Yes |
Practice location
4020 S 700 ESuite 4
Salt Lake City, UT 84107-2186
Phone 801-266-4352
Mailing address
Po Box 982902Park City, UT 84098-2902
Authorized official
Thomas James Allen
Ceo
2106029831
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