Olivier Mulyangote, P.A

NPI 1215262944 · on the registry since 2009

Practice

Address: 3195 S Main St
Suite 200
Salt Lake City, UT 84115
Phone: (801) 468-0354
Fax: (801) 468-0353
Organisation at this address: Main Street Dental Of Salt Lake City
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah