SHAD T INGRAM

SYRACUSE, UT
NPI1154456010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  5927977)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
-- SHAD T INGRAM dds
780 S 2000 W F 1
SYRACUSE, UT 84075-9602
Phone number: 801-776-3000
Mailing Address
-- SHAD T INGRAM dds
780 S 2000 W F 1
SYRACUSE, UT 84075-9602
Phone number: 801-776-3000
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