Individual
DR. BRIAN KEITH TAVOIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
510 S MAIN ST, CEDAR CITY, UT 84720-3474
(435) 586-0123
(435) 586-2638
Mailing address
510 S MAIN ST, CEDAR CITY, UT 84720-3474
(435) 586-0123
(435) 586-2638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
921455679922
UT
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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