Individual
TAMARA BOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1729 SIDEWINDER DR STE 102, PARK CITY, UT 84060-7322
(435) 649-9492
Mailing address
1729 SIDEWINDER DR STE 102, PARK CITY, UT 84060-7322
(435) 649-9492
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6234607-9920
UT
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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