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1144361296
LAURIN G RACKHAM
OREM, UT
NPI
1144361296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: UT 145560-9921)
Enumeration Date
2007-02-10
Last Update Date
2007-07-08
Business Address
-- LAURIN G RACKHAM DMD
1834 S STATE ST
OREM, UT 84097-8109
Phone number: 801-224-0222
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Mailing Address
-- LAURIN G RACKHAM DMD
1834 S STATE ST
OREM, UT 84097-8109
Phone number: 801-224-0222
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