Individual
SUZANN WHTIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
818 E 750 S, SALEM, UT 84653-5653
(801) 318-2374
Mailing address
818 E 750 S, SALEM, UT 84653-5653
(801) 318-2374
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7357195-9920
UT
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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