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Individual

CRAIG COOMBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2185 N 1700 W, SUITE 203, LAYTON, UT 84041-1154
(801) 773-5836
Mailing address
2185 N 1700 W, SUITE 203, LAYTON, UT 84041
(801) 773-5836

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
138105
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265652077
NPI TYPE 2
UT
Enumeration date
11/24/2014
Last updated
11/24/2014
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