Individual
KADEE PITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6932 E 1400 S, FT. DUCHESNE, UT 84026
(435) 722-5122
Mailing address
681 ESCALANTE DR APT 2, VERNAL, UT 84078-4313
(307) 314-5887
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11248431-9920
UT
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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