Organization
MOBILE DENTAL HYGIENE OF ST. GEORGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANYELLE M EVANS R.D.H. (DENTAL HYGIENIST)
(435) 680-0517
Entity
Organization
Contact information
Practice address
2506 E WILDERNESS GATE DR, WASHINGTON, UT 84780-2582
(435) 680-0517
Mailing address
2506 E WILDERNESS GATE DR, WASHINGTON, UT 84780-2582
(435) 680-0517
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
332958-9920
UT
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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