Half Dental St. George

NPI 1063759694 - Dentist - 122300000X

NPI Details
NPI 1063759694
Enumeration Date 01/16/2013
Last Updated 01/16/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PERRY PERRY
Position CLINIC ADMINISTRATOR
Phone (435) 656-3868
Fax (435) 656-3870
Practice Location
350 E 600 S
SUITE 1
ST GEORGE UT, 84770-3904, US
Phone (435) 656-3868
Fax (435) 656-3870
Business Location
350 E 600 S
SUITE 1
ST GEORGE UT, 84770-3904, US
Phone (435) 656-3868
Fax (435) 656-3870
Toxanomy
Taxonomy Code 122300000X
License State Utah
License Number 347527-9922
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According to our database, Half Dental St. George NPI is 1063759694, taxonomy code is 122300000X and license number is 347527-9922, license state is located at Utah. Half Dental St. George physically located at 350 E 600 S, St George UT, 84770-3904. NPI Number 1033115704 has the healthcare provider type.

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1063759694 NPI number is provided on an as is basis without warranty of any kind. 1063759694 is maintained by the National Plan & Provider Enumeration System. The contents of Half Dental St. George are for informational purposes only.