Organization
INTERMOUNTAIN DENTURES PLLC
Active
Other names
Smiles Restored
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HANSON DDS (OWNER)
(435) 688-2772
Entity
Organization
Contact information
Practice address
437 S BLUFF ST, SUITE 102, ST GEORGE, UT 84770-3592
(435) 688-2772
(435) 688-2781
Mailing address
437 S BLUFF ST, SUITE 102, ST GEORGE, UT 84770-3592
(435) 688-2772
(435) 688-2781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
72511389921
UT
Other
Enumeration date
09/06/2011
Last updated
10/25/2021
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