Chad S Burt, DMD Valid NPI
Individual provider · General Practice Dentistry · Midvale, UT
- NPI
- 1497706386
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 1453659922 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-05-15
- Last updated
- 2007-07-08
Practice location
204 E Fort Union Blvd, Suite 101
Midvale, UT 84047
(801) 255-3578