Individual
MERCEDES HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 S 500 W, STE D, BOUNTIFUL, UT 84010-8726
(801) 296-1606
Mailing address
881 MIRAFLORES, SAN PEDRO, CA 90731-1449
(801) 706-9540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9072215-9921
UT
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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