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Individual

JOHN CRAIG CALLISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1172 E 100 N, SUITE 6, PAYSON, UT 84651-1667
(801) 465-3913
(801) 465-3913
Mailing address
PO BOX 38, PAYSON, UT 84651-0038
(801) 465-3691
(801) 465-3913

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
373930
UT

Other

Enumeration date
11/03/2006
Last updated
07/08/2007
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