Individual
DR. TAMI HIROMASA FESSENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11576 S STATE ST, SUITE 1201, DRAPER, UT 84020-6431
(801) 716-7006
Mailing address
11576 S STATE ST, SUITE 1201, DRAPER, UT 84020-6431
(801) 716-7006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6267683-9922
UT
Other
Enumeration date
11/18/2008
Last updated
08/06/2014
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