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321 N Mall Dr Saint George UT 84790-7302 | |
(949) 667-3959 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 321 N Mall Dr, Saint George, Utah |
Authorized Official Name and Position | Bryson David Lemone (DENTIST/ OWNER) |
Authorized Official Contact | 7023640044 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8954 Spanish Ridge Ave Suite 3 Las Vegas NV 89148-1353 Ph: (702) 364-0044 | 321 N Mall Dr Saint George UT 84790-7302 Ph: (949) 667-3959 |
NPI Number | 1558669127 |
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Provider Enumeration Date | 03/07/2011 |
Last Update Date | 09/06/2011 |
Identifier | Type | State | Issuer |
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1558669127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 5733266-9921 (Utah) | Primary |
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