Individual
THERESA ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
181 N 1200 E, LEHI, UT 84043-2446
(801) 855-0555
Mailing address
181 N 1200 E, LEHI, UT 84043-2446
(801) 855-0555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14293266-9926
UT
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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