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Steven C Pinegar Valid NPI

Individual provider · General Practice Dentistry · Provo, UT

NPI
1548386659
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
141706 (UT)
Sex
Male
Sole proprietor
Yes
Enumerated
2007-03-21
Last updated
2007-07-08
Practice location
1021 N University Ave
Provo, UT 84604-3477
(801) 373-8221

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