ADAM RICHARD VAN LEEUWEN

SALT LAKE CITY, UT
NPI1003016536
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  6610915)
Enumeration Date2007-07-23
Last Update Date2007-07-23
Business Address
Dr. ADAM RICHARD VAN LEEUWEN D.D.S.
6936 SOUTH 2475 EAST 201
SALT LAKE CITY, UT 84121-5999
Phone number: 801-943-1612
Mailing Address
Dr. ADAM RICHARD VAN LEEUWEN D.D.S.
6936 SOUTH 2475 EAST 201
SALT LAKE CITY, UT 84121-9999
Phone number: 801-943-1612
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