Individual
DR. JOSHUA RICHARD CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 S 300 W, SANTAQUIN, UT 84655-8147
Mailing address
10 S 300 W, SANTAQUIN, UT 84655-8147
(801) 754-0678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12317272-9921
UT
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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