Individual
CAMERON BRADSHAW MAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
819 N 900 W, OREM, UT 84057-7701
(801) 857-4042
Mailing address
350 W 1450 S, OREM, UT 84058-7327
(801) 857-4042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
APPLYING
UT
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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