Individual
DR. JOSHUA BRADLEY HASLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1169 W HIGHWAY 40, SUITE # C, VERNAL, UT 84078-2911
(435) 781-2729
(435) 781-2719
Mailing address
1169 W HIGHWAY 40, SUITE # C, VERNAL, UT 84078-2911
(435) 781-2729
(435) 781-2719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6563284-8903
UT
1223G0001X
General Practice Dentistry
Primary
6563284-9922
UT
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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