Organization
GUNNELL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY S STOTT (OFFICE MANAGER)
(435) 752-1744
Entity
Organization
Contact information
Practice address
26 W MAIN ST, HYRUM, UT 84319-1292
(435) 752-1744
(435) 245-7849
Mailing address
1320 N 600 E STE 2, LOGAN, UT 84341-2474
(435) 752-1744
(435) 213-3639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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