Individual
BENJAMIN EGGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
65 N CENTER STREET, ESCALANTE, UT 84726
(435) 425-1116
Mailing address
144 W 375 S, PAROWAN, UT 84761
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12290321-9923
UT
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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