Individual
FREDRICK ALLEN GHIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
6095 FASHION BLVD STE 210, MURRAY, UT 84107-7394
(801) 269-0303
(801) 269-0447
Mailing address
6095 FASHION BLVD STE 210, MURRAY, UT 84107-7394
(801) 269-0303
(801) 269-0447
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22-131979
UT
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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