Individual
DR. MARK BOYD WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
675 S 100 W, PAYSON, UT 84651-2883
(801) 465-1390
(801) 465-5130
Mailing address
394 S 400 E, SANTAQUIN, UT 84655-8116
(801) 754-1281
(801) 465-5130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53424559922
UT
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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