Individual
DR. ALEX SPENCE BANKHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S. M.S.
Contact information
Practice address
1375 E 800 N, STE 104, OREM, UT 84097-4435
(801) 221-7799
(801) 221-9559
Mailing address
1375 E 800 N, STE 104, OREM, UT 84097-4435
(801) 221-7799
(801) 221-9559
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3471239923
UT
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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