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Individual

DR. JOHN A. GERRITSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1345 E FORT UNION BLVD, SALT LAKE CITY, UT 84121-2859
(801) 943-3408
(801) 943-3425
Mailing address
1345 E FORT UNION BLVD, SALT LAKE CITY, UT 84121-2859
(801) 943-3408
(801) 943-3425

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
135051
UT

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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