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75 North 200 East Panguitch UT 84759 | |
(435) 676-2443 | |
(435) 676-2443 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 75 North 200 East, Panguitch, Utah |
Authorized Official Name and Position | Evan Christensen (CEO) |
Authorized Official Contact | 4354251102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 303 Bicknell UT 84715-0303 Ph: (435) 425-3744 | 75 North 200 East Panguitch UT 84759 Ph: (435) 676-2443 |
NPI Number | 1851812085 |
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Provider Enumeration Date | 06/28/2017 |
Last Update Date | 04/21/2021 |
Identifier | Type | State | Issuer |
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1851812085 | NPI | - | NPPES |