Individual
STANLEY EUGENE PEAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
246 N MAIN ST, BOUNTIFUL, UT 84010-6136
(801) 295-5131
Mailing address
246 N MAIN ST, BOUNTIFUL, UT 84010-6136
(801) 295-5131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
130504
UT
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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