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Organization

ORTHODONTICS OF ST. GEORGE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISTY M ABEYTA (BILLING)
(505) 592-0482
Entity
Organization

Contact information

Practice address
965 E 700 S STE 101, ST GEORGE, UT 84790-4084
(435) 688-7711
Mailing address
4760 N BUTLER AVE STE B, FARMINGTON, NM 87401-0816
(505) 592-0482
(505) 325-2538

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
11/01/2019
Last updated
11/01/2019
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