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Individual

DR. JOHN MELVIN VANDENBERGHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
45 W SEGO LILY DR, SUITE 305, SANDY, UT 84070-3299
(801) 233-0503
(801) 233-0593
Mailing address
45 W SEGO LILY DR, SUITE 305, SANDY, UT 84070-3299
(801) 233-0503
(801) 233-0593

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
55467
UT

Other

Enumeration date
07/25/2006
Last updated
07/08/2007
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