NPI 1730517517

Bkp Dental

Organisation Preferred Provider Organization Salt Lake City, UT

Practice location

Address: 4066 S 4000 W, Salt Lake City, UT 84120-4040
Phone: (801) 968-2864

Authorised official

Name: Phung Chau
Title: Owner Manager
Phone: (801) 541-6807

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 5660293-9922 (UT)

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Registry record

NPI: 1730517517
Entity type: Organization
NPI issued: 14 Oct 2013
Record last updated: 14 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.