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Individual

DR. CHIPMAN PACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2940 WEST 3650 SOUTH, SUTIE 202, WEST VALLEY CITY, UT 84119
(801) 417-5509
(801) 417-8386
Mailing address
2940 WEST 3650 SOUTH, SUTIE 202, WEST VALLEY CITY, UT 84119
(801) 417-5509
(801) 417-8386

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62657349921
UT

Other

Enumeration date
03/12/2007
Last updated
07/08/2007
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