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Organization

STEPHEN D HASLAM, DDS, PLLC

Active
Other names
Stephen D Haslam, DDS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN DEATON HASLAM DDS (OWNER/MANAGER)
(801) 262-4628
Entity
Organization

Contact information

Practice address
6065 FASHION BLVD, SUITE 275, MURRAY, UT 84107-7381
(801) 262-4628
(801) 262-9260
Mailing address
6065 FASHION BLVD, SUITE 275, MURRAY, UT 84107-7381
(801) 262-4628
(801) 262-9260

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
143673-9923
UT

Other

Enumeration date
12/28/2007
Last updated
12/28/2007
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