Wallace, Mark Spangler
Wallace, Mark Spangler is an individual health care provider with primary practice located at 168 N 1950 W Ste 202 , Salt Lake City UT 84116-3007. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wallace, Mark Spangler can be contacted via phone (801) 715-3400.Contact Information
Primary practice address
168 N 1950 W Ste 202
Salt Lake City UT 84116-3007
Phone: (801) 715-3400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 142818-9921 | Utah |
Profile Details
| NPI number | 1669467213 |
|---|---|
| LBN Legal business name | Wallace, Mark Spangler |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Apr 6th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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