Individual
STUART COVINGTON FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12427 S PASTURE RD STE 200, RIVERTON, UT 84096-5608
(208) 794-7049
Mailing address
2896 W LINCOLN CV, SOUTH JORDAN, UT 84095-3327
(208) 794-7049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-4326
ID
1223G0001X
General Practice Dentistry
Primary
11131072
UT
Other
Enumeration date
11/15/2011
Last updated
03/22/2022
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