Organization
ROBERT L. HAMBLIN, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HAMBLIN D.D.S (OWNER)
(801) 377-7200
Entity
Organization
Contact information
Practice address
3200 N CANYON RD STE F, PROVO, UT 84604-4571
(801) 377-7200
Mailing address
3200 N CANYON RD STE F, PROVO, UT 84604-4571
(801) 377-7200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
141649
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563949673010
—
UT
01
—
670212
UNITED CONCORDIA ID
UT
Enumeration date
06/12/2007
Last updated
08/22/2020
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