Individual
DENNIS ALLEN DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
60 SOUTH 300 EAST, DELTA, UT 84624
(435) 864-5195
Mailing address
60 SOUTH 300 EAST, P.O. BOX 310, DELTA, UT 84624
(435) 864-5195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
143812-9922
UT
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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