Individual
JOHN COLLIN DEMILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
451 E MAIN ST, SANTAQUIN, UT 84655-7267
(801) 658-0221
Mailing address
451 E MAIN ST, SANTAQUIN, UT 84655-7267
(801) 658-0221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8182599
UT
Other
Enumeration date
03/23/2021
Last updated
04/27/2023
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