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1447489836
KEITH A DODGE
OREM, UT
NPI
1447489836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 7395098-9922)
Enumeration Date
2009-07-07
Last Update Date
2009-07-07
Business Address
-- KEITH A DODGE DDS
336 W 920 N
OREM, UT 84057-3042
Phone number: 801-225-8060
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Mailing Address
-- KEITH A DODGE DDS
336 W 920 N
OREM, UT 84057-3042
Phone number: 801-225-8060
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