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Organization

SUNSET DENTAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN S DORIUS D.M.D. (PART OWNER)
(435) 656-5900
Entity
Organization

Contact information

Practice address
929 W SUNSET BLVD, STE. 15, ST GEORGE, UT 84770-4865
(435) 656-5900
(435) 656-4830
Mailing address
929 W SUNSET BLVD, STE. 15, ST GEORGE, UT 84770-4865
(435) 656-5900
(435) 656-4830

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1380569922
UT
1223G0001X
General Practice Dentistry
341178-9922
UT
1223G0001X
General Practice Dentistry
Primary
4919293-9922
UT

Other

Enumeration date
02/13/2012
Last updated
02/14/2012
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