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Organization

CREED S HAYMOND DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CREED S HAYMOND DDS (OWNER)
(801) 576-0077
Entity
Organization

Contact information

Practice address
1434 E 9400 SOUTH, SUITE 102, SANDY, UT 84093
(801) 576-0077
(801) 495-1837
Mailing address
1434 EAST 9400 SO, SUITE 102, SANDY, UT 84093
(801) 576-0077
(801) 495-1837

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
145378
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
528027009017
UT
Enumeration date
03/03/2009
Last updated
03/06/2009
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