Dennis Dedecker DDS, PC

NPI 1073516688 - Dentist - 1223S0112X

NPI Details
NPI 1073516688
Gender Male
Enumeration Date 05/27/2005
Last Updated 04/05/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
2185 N 1700 W
#204
LAYTON UT, 84041-1154, US
Phone (801) 773-9790
Fax (801) 773-9792
Business Location
447 E 700 N TWIN CREEK CIRCLE
KAYSVILLE UT, 84037, US
Phone (801) 544-2863
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Utah
License Number 1356659924
Remove 1073516688 NPI Number
 

According to our database, Dennis Dedecker DDS, PC NPI is 1073516688, taxonomy code is 1223S0112X and license number is 1356659924, license state is located at Utah. Dennis Dedecker DDS, PC physically located at 2185 N 1700 W, Layton UT, 84041-1154. NPI Number Dennis Dedecker DDS, PC has the Individual type.

Sponsored links

1073516688 NPI number is provided on an as is basis without warranty of any kind. 1073516688 is maintained by the National Plan & Provider Enumeration System. The contents of Dennis Dedecker DDS, PC are for informational purposes only.