Individual
P. CRAIG PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
88 E STATE ST, FARMINGTON, UT 84025-2343
(801) 451-2341
Mailing address
PO BOX 220, 88 E STATE ST, FARMINGTON, UT 84025-0220
(801) 451-2341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4741793
UT
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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