Organization
ANDRUS PROSTHODONTICS LC
Active
Other names
St.George Center for Specialized Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY L ANDRUS DDS (OWNER)
(435) 674-3100
Entity
Organization
Contact information
Practice address
640 E 700 S, SUITE 104, ST GEORGE, UT 84770-4023
(435) 674-3100
(435) 674-4345
Mailing address
640 E 700 S, SUITE 104, ST GEORGE, UT 84770-4023
(435) 674-3100
(435) 674-4345
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
4748653
UT
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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