Organization
MERRILL M HUGENTOBLER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERRILL HUGENTOBLER (OWNER)
(435) 259-7418
Entity
Organization
Contact information
Practice address
757 N MAIN ST, MOAB, UT 84532-2132
(435) 259-7418
Mailing address
757 N MAIN ST, MOAB, UT 84532-2132
(435) 259-7418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
275141
UT
Other
Enumeration date
04/26/2016
Last updated
10/10/2016
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