Individual
DR. GAVYN CHRISTIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6544 W 10380 N, HIGHLAND, UT 84003-6704
(801) 636-6730
Mailing address
6544 W 10380 N, HIGHLAND, UT 84003-6704
(801) 636-6730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8710807-9921
UT
1223E0200X
Endodontics
Primary
8710807
UT
Other
Enumeration date
07/16/2013
Last updated
03/09/2017
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