Individual
DR. RANDY T SIMONSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 DIAGONAL ST, ST GEORGE, UT 84770-2878
(435) 628-3773
(435) 628-3773
Mailing address
10 W. DIAGONAL STREET, ST. GEORGE, UT 84770
(435) 628-3773
(435) 628-3773
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1401399921
UT
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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