Organization
PAUL M HUFFAKER, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M HUFFAKER D.M.D. (OWNER)
(385) 245-8247
Entity
Organization
Contact information
Practice address
134 S MAIN ST, SUITE #4, CENTERVILLE, UT 84014-2814
(385) 245-8247
Mailing address
134 S MAIN ST, SUITE #4, CENTERVILLE, UT 84014-2814
(385) 245-8247
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
98296579922
UT
Other
Enumeration date
07/22/2016
Last updated
05/04/2017
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