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Individual

ANDREA CHAVELEH YATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14723 S MARKETPLACE DR STE B, HERRIMAN, UT 84096-3361
(385) 340-7505
Mailing address
10733 S OZARKS DR, SOUTH JORDAN, UT 84009-5693
(281) 687-8845

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11680862
UT

Other

Enumeration date
03/16/2019
Last updated
09/22/2025
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