Individual
ERNEST ADAM SEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1189 SOUTH MAIN, SMITHFIELD, UT 84335
(435) 563-3025
Mailing address
1189 SOUTH MAIN, SMITHFIELD, UT 84335
(435) 563-3025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9450098-9922
UT
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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