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Individual

STEVEN H CHADWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2414 W 7800 S, WEST JORDAN, UT 84088
(801) 566-0629
(801) 569-1922
Mailing address
2414 W 7800 S, WEST JORDAN, UT 84088
(801) 566-0629
(801) 569-1922

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
134760
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
528685888002
UT
Enumeration date
11/06/2006
Last updated
07/08/2007
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