Thomas R Dickson, DDS Valid NPI
Individual provider · Dentist · Midvale, UT
- NPI
- 1386779601
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 264648 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-02-23
- Last updated
- 2024-05-06
Practice location
714 Fort Union Blvd
Midvale, UT 84047-2347
(801) 567-0343