Individual
DR. DANIEL AGEE BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1320 N 600 E, SUITE #1, LOGAN, UT 84341-2431
(453) 752-3343
(435) 787-1825
Mailing address
1320 N 600 E, #1, LOGAN, UT 84341-2431
(453) 752-3343
(435) 787-1825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
137627-8903
UT
122300000X
Dentist
Primary
137627-9922
UT
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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