Individual
DR. ANDREW MICAH VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
366 E 2200 S, BOUNTIFUL, UT 84010-5626
(801) 209-3998
Mailing address
366 E 2200 S, BOUNTIFUL, UT 84010-5626
(801) 209-3998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6770014-9922
UT
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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