Heath Hendrickson Mbr

NPI 1083978316 - Dentist - 1223G0001X

NPI Details
NPI 1083978316
Enumeration Date 07/02/2012
Last Updated 07/02/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RAYMOND HEATH RAYMOND
Position OWNER
Phone (801) 370-0050
Fax
Practice Location
2230 N UNIVERSITY PKWY STE 8A
PROVO UT, 84604-6702, US
Phone (801) 370-0050
Fax
Business Location
2230 N UNIVERSITY PKWY STE 8A
PROVO UT, 84604-6702, US
Phone (801) 370-0050
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Utah
License Number 5136599922
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According to our database, Heath Hendrickson Mbr NPI is 1083978316, taxonomy code is 1223G0001X and license number is 5136599922, license state is located at Utah. Heath Hendrickson Mbr physically located at 2230 N University Pkwy Ste 8a, Provo UT, 84604-6702. NPI Number 1033115704 has the healthcare provider type.

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1083978316 NPI number is provided on an as is basis without warranty of any kind. 1083978316 is maintained by the National Plan & Provider Enumeration System. The contents of Heath Hendrickson Mbr are for informational purposes only.