Individual
MR. THERAN LORIN CROWTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
195 E 100 N, MORGAN, UT 84050-0721
(801) 829-6471
(801) 829-6475
Mailing address
PO BOX 721, MORGAN, UT 84050-0721
(801) 829-6471
(801) 829-6475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
132720
UT
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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