NPI 1003016536
Adam Richard van Leeuwen, DDS
Practice location
- Address
- 6936 South 2475 East 201, Salt Lake City, UT 84121-5999
- Phone
- (801) 943-1612
- Fax
- (801) 942-6008
- Mailing address
- 6936 South 2475 East 201, Salt Lake City, UT 84121-9999
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003016536
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jul 2007
- Record last updated
- 23 Jul 2007
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.