Individual
EMMA DEGRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7321 BALMER ST, HILL AFB, UT 84056-5012
(801) 777-7011
Mailing address
1332 ANN ST, SYRACUSE, UT 84075-9402
(385) 245-5251
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10825426-9920
UT
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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