Individual
DONALD ALLRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6822 EAST 1000 SOUTH, FT. DUCHESNE, UT 84026-0160
(435) 722-5122
Mailing address
6822 EAST 1000 SOUTH, FT. DUCHESNE, UT 84026-0160
(435) 722-5122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7021848-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152757858
DRIVERS LICENSE NUMBER
UT
Enumeration date
09/26/2008
Last updated
09/29/2008
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