Individual
VANESSA BIKHAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11501 S 4000 W STE 101, SOUTH JORDAN, UT 84009-6028
(801) 701-2120
Mailing address
4804 W WILDER LN, HIGHLAND, UT 84003-6015
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
14185700
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14185700
DENTAL
UT
01
—
FB8761050
DENTAL
CA
Enumeration date
11/21/2019
Last updated
02/26/2025
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