Organization
DAVID W HINKSON DDS PERIODONTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WAYNE HINKSON DDS (PRESIDENT)
(435) 232-3466
Entity
Organization
Contact information
Practice address
150 E 200 N, SUITE H, LOGAN, UT 84321
(435) 753-9470
(435) 755-3141
Mailing address
150 E 200 N, SUITE H, LOGAN, UT 84321
(435) 753-9470
(435) 755-3141
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
276618
UT
Other
Enumeration date
06/05/2007
Last updated
07/17/2008
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