Individual
DR. SCOTT L THEURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1340 N 600 E, STE 1, LOGAN, UT 84341-2440
(435) 752-2230
(435) 752-6481
Mailing address
1340 N 600 E, STE 1, LOGAN, UT 84341-2440
(435) 752-2230
(435) 752-6481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
142169-9922
UT
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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