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Individual

TYSON BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
625 E 500 S STE 203, BOUNTIFUL, UT 84010-3884
(801) 292-6819
Mailing address
29 W 150 N, NORTH SALT LAKE, UT 84054-2414
(801) 372-9123

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12258240-9923
UT

Other

Enumeration date
03/27/2020
Last updated
12/14/2021
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