Individual
TY FLINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1147 ROSEWOOD LN STE 1, LAYTON, UT 84041-5116
(801) 544-2256
Mailing address
1576 PHILLIPS ST, KAYSVILLE, UT 84037-9599
(801) 726-2119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9054864-9922
UT
Other
Enumeration date
03/26/2014
Last updated
06/02/2014
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