Individual
DR. JOHN REIMSCHIISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11996 S ANTHEM PARK BLVD STE 101, HERRIMAN, UT 84096-5643
(801) 877-5800
Mailing address
663 W 2900 N, PLEASANT GROVE, UT 84062-8101
(801) 885-9484
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10097392-9923
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2015
Last updated
02/02/2021
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