Individual
DENVER BAUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
980 S 500 W STE 1, BRIGHAM CITY, UT 84302-3094
(435) 723-8276
Mailing address
980 S 500 W STE 1, BRIGHAM CITY, UT 84302-3094
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7671028-9920
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7671028-9920
PROFESSIONAL LICENSING
UT
Enumeration date
11/17/2017
Last updated
11/17/2017
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