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Individual

CHASE O DANSIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, DHSC

Contact information

Practice address
11996 S ANTHEM PARK BLVD STE 100, HERRIMAN, UT 84096-5643
(801) 758-8888
Mailing address
11996 S ANTHEM PARK BLVD STE 100, HERRIMAN, UT 84096-5643
(801) 758-8888

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2009014599
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6994989
UT

Other

Enumeration date
06/25/2009
Last updated
03/19/2016
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