Individual
DR. MATTHEW MCINNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3556 W 9800 S STE 102, SOUTH JORDAN, UT 84095-3225
(801) 280-5558
(801) 446-9818
Mailing address
12319 S 3900 W, RIVERTON, UT 84065-7748
(801) 446-2088
(801) 446-9818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5660274-9922
UT
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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