Individual
RALPH K BAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
1445 N 400 E, SUITE 3, LOGAN, UT 84341-7564
(435) 752-1320
(435) 755-6183
Mailing address
1445 N 400 E, SUITE 3, LOGAN, UT 84341-7564
(435) 752-1320
(435) 755-6183
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
137384
UT
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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