Individual
AMIRA A HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3280 W 3500 S STE 3, WEST VALLEY, UT 84119-2688
(801) 969-2121
(801) 969-9905
Mailing address
3280 W 3500 S #3, WEST VALLEY, UT 84119
(801) 969-2121
(801) 969-9905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6937199-9921
UT
1223G0001X
General Practice Dentistry
47780
MD
Other
Enumeration date
10/12/2006
Last updated
08/21/2008
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