Eddie S. Faddis, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Pleasant Grove, UT
- NPI
- 1396886511
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 145625 (UT)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-09
- Last updated
- 2015-10-28
Practice location
533 W State Rd Ste 202
Pleasant Grove, UT 84062-2116
(801) 785-8835