Individual
BARETT D ANDREASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
914 W BROOKCREST CIR, SOUTH JORDAN, UT 84095-4501
(424) 226-2174
Mailing address
914 W BROOKCREST CIR, SOUTH JORDAN, UT 84095-4501
(505) 331-1014
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
12185012-9921
UT
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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