Individual
SPENCER N DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
210 E MAIN ST STE 201, MIDWAY, UT 84049-6817
(435) 654-2822
Mailing address
629 W 250 N, LINDON, UT 84042-1344
(385) 201-8816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
139961049923
UT
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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