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NPI Code Detail

MEDICARE: DR. SARA MARCINE DDS

MEDICARE:  DR. SARA  MARCINE  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry14167843-9926UT

General Provider Information

NPI Number : 1881421451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARA MARCINE DDS
Provider Business Mailing Address
First Line : 330 E 400 S APT 746
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-3065
Country : US
Telephone Number : 807-407-7272
Fax Number :
Provider Business Practice Location Address
First Line : 850 E 300 S STE 7
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-2393
Country : US
Telephone Number : 385-707-2724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2024
Last Update Date : 09/17/2024

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Directions to “ DR. SARA MARCINE DDS” Practice Location

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