Individual
JOEL C DEEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9968 S 400 E, SALEM, UT 84653-9226
(801) 874-8367
Mailing address
9968 S 400 E, SALEM, UT 84653-9226
(801) 874-8367
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D011761
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2019
Last updated
08/15/2023
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