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1477607000
GARY LYNN MATTHEWS
PROVO, UT
NPI
1477607000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 132192-9922)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
-- GARY LYNN MATTHEWS D.D.S.
3610 N UNIVERSITY AVE STE 200
PROVO, UT 84604-4445
Phone number: 801-377-0500
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Mailing Address
-- GARY LYNN MATTHEWS D.D.S.
3610 N UNIVERSITY AVE STE 200
PROVO, UT 84604-4445
Phone number: 801-377-0500
Copy
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