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Individual

MAKENZIE M DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
181 N 1200 E, LEHI, UT 84043-2446
(801) 855-0555
Mailing address
6283 W SKYLINE DR N, HIGHLAND, UT 84003-3756
(801) 664-5264

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13996047-9926
UT

Other

Enumeration date
05/15/2023
Last updated
05/22/2024
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