person
Dr. Mitzi M Wasden, DDS
Pediatric Dentist in Salt Lake City, Utah
NPI 1184622565

Mitzi M Wasden is a Pediatric Dentist based in Salt Lake City, UT and is specialized in Pediatric Dentistry. Mitzi M Wasden practices in Salt Lake City, UT and has the professional credentials of DDS. The NPI Number for Mitzi M Wasden is 1184622565 and holds a License No. 6449 (Utah).

The current practice location address for Mitzi M Wasden is 100 N Mario Capecchi Dr, Salt Lake City, UT and can be reached out via phone at 801-662-3900.

Location: 100 N Mario Capecchi Dr, Salt Lake City, UT, 84127-0128
person
Provider Profile Details
NPI Number
1184622565
Provider Name
Mitzi M Wasden
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
100 N Mario Capecchi Dr, Salt Lake City, UT, 84127-0128
Phone Number
801-662-3900
Fax Number
Provider Enumeration Date
07/11/2005
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
100 N Mario Capecchi Dr
City
State
Zip
84113-1103
Phone Number
801-662-3900
Fax Number
person
Provider Business Mailing Address Details
Address
100 N Mario Capecchi Dr
City
State
Zip
84113-1103
Phone Number
801-662-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
6449 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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