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1770111692
TYSON BISHOP
BOUNTIFUL, UT
NPI
1770111692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 12258240-9923)
Enumeration Date
2020-03-27
Last Update Date
2021-12-14
Business Address
TYSON BISHOP DMD
625 E 500 S STE 203
BOUNTIFUL, UT 84010-3884
Phone number: 801-292-6819
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Mailing Address
TYSON BISHOP DMD
29 W 150 N
NORTH SALT LAKE, UT 84054-2414
Phone number: 801-372-9123
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