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Individual

DR. JEREMY SCHOLZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
201 S 700 W, HURRICANE, UT 84737
(435) 673-7776
Mailing address
201 S 700 W, HURRICANE, UT 84737-2423
(435) 673-7776

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30022222
OH
1223P0221X
Pediatric Dentistry
Primary
6329558-9922
UT
1223P0221X
Pediatric Dentistry
S6-85
NV

Other

Enumeration date
10/25/2006
Last updated
08/09/2007
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