WASATCH ENDODONTICS, PC
Managed Care Organizations at 400, Bountiful, UT

License number
Utah 7270739-9922
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: BRADY J OLSEN D.M.D.
Title: OWNER
Phone: (801) 298-1101
Address
Address
185 S 400 E SUITE 201, Bountiful, UT 84010
National Provider ID: 1821428921
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WASATCH ENDODONTICS PC

Bountiful, UT

Status:
Inactive
Doing business as:
WASATCH ENDODONTICS<br>Olsen Endodontics LLC
Registration:
Jan 27, 2012
Site:
wasatchendodontics.com
Phone:
(801) 510-9570 (Phone)
Addresses:
185 S 400 E STE 201, Bountiful, UT 84010 (Physical)
175 S 400 E, Bountiful, UT 84010 (Physical)
State ID:
7253697-0160
Business type:
LLC - Domestic
Office Managers:
Brady J. Olsen (Family And General Dentistry, Owner),Sheila Jackson (Office Manager)
Agent:
Melinda Checketts Hibbert,185 S 400 E STE 201, Bountiful, UT 84010 (Physical)
Categories:
Dentists

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