Individual
NORHAN AZIZ CHACOPULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 N AARON DR STE C, TOOELE, UT 84074-8111
(435) 850-1823
Mailing address
1959 N AARON DR STE C, TOOELE, UT 84074-8111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12691497-9923
UT
124Q00000X
Dental Hygienist
Primary
12691497-9920
UT
Other
Enumeration date
02/05/2026
Last updated
04/16/2026
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