Samuel Lee Peery D.M.D.

NPI 1104029560 - Dentist - 1223G0001X

NPI Details
NPI 1104029560
Gender Male
Enumeration Date 06/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
30 N 100 E
LOGAN UT, 84321-4649, US
Phone (435) 752-1362
Fax
Business Location
30 N 100 E
LOGAN UT, 84321-4649, US
Phone (435) 752-1362
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Utah
License Number 2747
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According to our database, Dr. Samuel Lee Peery D.M.D. NPI is 1104029560, taxonomy code is 1223G0001X and license number is 2747, license state is located at Utah. Samuel Lee Peery D.M.D. physically located at 30 N 100 E, Logan UT, 84321-4649. NPI Number Samuel Lee Peery D.M.D. has the Individual type.

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1104029560 NPI number is provided on an as is basis without warranty of any kind. 1104029560 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Lee Peery D.M.D. are for informational purposes only.