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DHEW IND HLTH SVCS & MNTL HLTH SVCS

Dentist

NPI: 1730341215Organization

Specialties, Licenses & Credentials

Endodontics

Dentist — Endodontics

Code: 1223E0200X

General Practice Dentistry

Dentist — General Practice

Code: 1223G0001X

Periodontics

Dentist — Periodontics

Code: 1223P0300X

Dental Hygienist

Dental Hygienist

Code: 124Q00000X

DentistPrimary

Dentist

Code: 122300000X

Contact & Hours

Address
6822 E 1000 SOUTH
FORT DUCHESNE, UT 84026

Quick Facts

NPI
1730341215
Entity Type
Organization
Medicare
Not confirmed
Specialties
5
Locations
1

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