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Individual

DR. TIM B BELNAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., P.C.

Contact information

Practice address
965 S 100 W, SUITE 100, LOGAN, UT 84321-6062
(435) 752-7953
(435) 755-5963
Mailing address
965 S 100 W, SUITE 100, LOGAN, UT 84321-6062
(435) 752-7953
(435) 755-5963

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
143279
UT

Other

Enumeration date
05/29/2007
Last updated
07/08/2007
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