Individual
DR. CRAIG BROOK THEURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1955 S 1300 E, STE. L1, SALT LAKE CITY, UT 84105-3638
(801) 487-5805
Mailing address
1955 S 1300 E, STE. L1, SALT LAKE CITY, UT 84105-3638
(801) 487-5805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
138326-9922
UT
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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