Individual
MR. DALE LEON TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1290 EAST 300 NORTH, PRICE, UT 84501
(435) 637-1830
Mailing address
1290 EAST 300 NORTH, PRICE, UT 84501
(435) 637-1830
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
137435
UT
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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