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Individual

IRVIN LEE ENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10 DIAGONAL STREET, #102, ST GEORGE, UT 84770
(435) 628-6026
(435) 656-4595
Mailing address
10 DIAGONAL STREET, #102, ST GEORGE, UT 84770
(435) 628-6026
(435) 656-4595

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1356769922
UT

Other

Enumeration date
08/22/2007
Last updated
08/22/2007
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