Individual
DR. KENT ALAN DASTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
281 S MAIN ST STE 5, CENTERVILLE, UT 84014-2292
(801) 292-0411
Mailing address
281 S MAIN ST STE 5, CENTERVILLE, UT 84014-2292
(801) 292-0411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
145615-9923
UT
Other
Enumeration date
01/12/2007
Last updated
04/05/2026
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