Individual
DR. CRAIG S CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
85 N CENTER ST, DELTA, UT 84624-8430
(435) 864-4623
Mailing address
85 N CENTER ST, DELTA, UT 84624-8430
(435) 864-4623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2754949922
UT
Other
Enumeration date
10/12/2006
Last updated
08/07/2014
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