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Individual

DR. HEATH R COLLEDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
427 W 100 S, ST GEORGE, UT 84770-3375
(435) 673-9606
(435) 673-6812
Mailing address
PO BOX 8, ST GEORGE, UT 84771-0008
(435) 673-9606
(435) 673-6812

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5610
NV
1223G0001X
General Practice Dentistry
Primary
6620093-9922
UT

Other

Enumeration date
01/30/2008
Last updated
01/30/2008
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