Individual
RAYMOND SCOTT HLAVATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 E 200 N STE A, LOGAN, UT 84321-4036
(435) 753-2828
(435) 753-3628
Mailing address
150 E 200 N STE A, LOGAN, UT 84321-4036
(435) 753-2828
(435) 753-3628
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
260457
UT
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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