Individual
DR. ANDREW B THEURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12465 S FORT ST, SUITE 100, DRAPER, UT 84020-9021
(801) 576-1167
Mailing address
12465 S FORT ST, SUITE 100, DRAPER, UT 84020-9021
(801) 576-1167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8718432-9922
UT
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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