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Individual

DR. DENNIS DALLIN DELOACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
60 S 300 E, DELTA, UT 84624-5551
(435) 864-5195
Mailing address
380 N 490 E, DELTA, UT 84624-9101
(801) 834-3011

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9826721-9922
UT

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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