Organization
HUNTINGTON FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVIN HUNTINGTON DDS (OWNER/DENTIST)
(801) 754-3100
Entity
Organization
Contact information
Practice address
340 E MAIN ST STE 5, SANTAQUIN, UT 84655-5673
(801) 754-3100
Mailing address
340 E MAIN ST STE 5, SANTAQUIN, UT 84655-5673
(801) 754-3100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7390100-9922
UT
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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