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1205497096
IRENE ISAZA BEVAN
SOUTH JORDAN, UT
NPI
1205497096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 11324979-9922)
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
Dr. IRENE ISAZA BEVAN DMD
3785 W 10400 S
SOUTH JORDAN, UT 84095
Phone number: 801-253-2249
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Mailing Address
Dr. IRENE ISAZA BEVAN DMD
2212 E OAK LEAF WAY
SANDY, UT 84092-5688
Phone number: 321-948-8374
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