Individual
MR. DALLIN HATHAWAY THUESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
108 N 1600 W, MAPLETON, UT 84664
(801) 491-6844
(801) 491-6044
Mailing address
108 N 1600 W, MAPLETON, UT 84664-3103
(208) 206-8402
(801) 491-6044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13908631-9923
UT
Other
Enumeration date
04/13/2023
Last updated
07/19/2024
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