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1417986589
DONALD A. DODGE
OREM, UT
NPI
1417986589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 133432)
Enumeration Date
2006-07-01
Last Update Date
2007-07-08
Business Address
-- DONALD A. DODGE D.D.S.
336 W 920 N
OREM, UT 84057-3042
Phone number: 801-225-8060
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Mailing Address
-- DONALD A. DODGE D.D.S.
336 W 920 N
OREM, UT 84057-3042
Phone number: 801-225-8060
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