| Randall M Stucki Family Dentistry Pc | |
|
75 W Main Street Ct Ste 200 Alpine UT 84004-5602 | |
| (801) 636-5455 | |
| (801) 492-7728 |
| Full Name | Randall M Stucki Family Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 75 W Main Street Ct Ste 200, Alpine, Utah |
| Authorized Official Name and Position | Randall Mckay Stucki (OWNER/PRESIDENT) |
| Authorized Official Contact | 8016365455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall M Stucki Family Dentistry Pc 75 W Main Street Ct Ste 200 Alpine UT 84004-5602 Ph: (801) 636-5455 | Randall M Stucki Family Dentistry Pc 75 W Main Street Ct Ste 200 Alpine UT 84004-5602 Ph: (801) 636-5455 |
| NPI Number | 1326352071 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 08/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326352071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1454049922 (Utah) | Primary |
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