Individual
ROBERT CHIDESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10011 CENTENNIAL PKWY, SUITE 330, SANDY, UT 84070-4156
(801) 256-3700
Mailing address
10011 CENTENNIAL PKWY, SUITE 330, SANDY, UT 84070-4156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
141895-9921
UT
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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