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12465 S Fort St Draper Dental LLC — NPI 1790593051, Draper, UT | NPI Central

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NPI 1790593051

OrganizationActive

12465 S Fort St Draper Dental LLC

NPI 1790593051 · Dental Clinic/Center · Draper, UT

Provider details

NPI number: 1790593051
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Dallis Zurcher, Doctor

Practice location

12465 S Fort St Ste 100

Draper, UT 84020-8354

Phone: (801) 576-1167

More UT providers

Mailing address

3757 E Hermes Dr

Millcreek, UT 84124-3337

Registry dates

Enumerated: 2024-12-19
Last updated: 2024-12-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.