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Individual

DR. PETER A EMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
263 COUNTRY CLUB DR., STE 103, TOOELE, UT 84074
(435) 882-2850
(435) 843-8832
Mailing address
12391 S. 4000 W., STE 206, RIVERTON, UT 84096
(801) 849-1045
(801) 938-9479

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
28763
TX
122300000X
Dentist
6319-15
WI
122300000X
Dentist
Primary
8938459
UT

Other

Enumeration date
12/10/2008
Last updated
07/29/2014
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