Individual
MERRILL M. HUGENTOBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
757 N MAIN ST, MOAB, UT 84532-2132
(435) 259-7418
(435) 259-4036
Mailing address
757 N MAIN ST, MOAB, UT 84532-2132
(435) 259-7418
(435) 259-4036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
275141
UT
Other
Enumeration date
02/16/2007
Last updated
07/26/2011
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