Individual
HEIDI LYNNE IONGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1492 W ANTELOPE DR STE 201, LAYTON, UT 84041-1141
(801) 776-6566
Mailing address
1412 S 400 E, KAYSVILLE, UT 84037-3013
(307) 696-9375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11629594-9923
UT
122300000X
Dentist
7082
NV
Other
Enumeration date
06/26/2018
Last updated
05/02/2023
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