Individual
DR. ALLEN DEHEER TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
754 S MAIN ST, SUITE 7, ST GEORGE, UT 84770-5504
(435) 652-1605
Mailing address
1179 N SUNSET DR, WASHINGTON, UT 84780-8489
(435) 251-9240
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
0401006707
VA
1223P0300X
Periodontics
Primary
6209237-9922
UT
Other
Enumeration date
08/02/2005
Last updated
07/08/2007
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