Individual
JEFFREY DARREL HANZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2332 W 12600 S, SUITE A, RIVERTON, UT 84065-7161
(801) 253-4547
(801) 302-0814
Mailing address
12238 GRASSLAND CT, RIVERTON, UT 84065-3166
(801) 253-4547
(801) 302-0814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
343991-9923
UT
Other
Enumeration date
10/05/2006
Last updated
03/07/2023
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