Individual
ANDREA TWITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 S 300 W, BLANDING, UT 84511-3921
(435) 678-0700
Mailing address
22016 N 74TH LN, GLENDALE, AZ 85310-5636
(435) 619-1859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12872576-9922
UT
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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