KENT ALAN DASTRUP

CENTERVILLE, UT
NPI1689725137
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  145615-9923)
Enumeration Date2007-01-12
Last Update Date2007-07-08
Business Address
Dr. KENT ALAN DASTRUP DDS
281 S MAIN ST STE 5
CENTERVILLE, UT 84014-2292
Phone number: 801-292-0411
Mailing Address
Dr. KENT ALAN DASTRUP DDS
281 S MAIN ST STE 5
CENTERVILLE, UT 84014-2292
Phone number: 801-292-0411
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