RAYMOND SCOTT HLAVATY

LOGAN, UT
NPI1821553785
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: UT  260457)
Enumeration Date2019-02-05
Last Update Date2019-02-05
Business Address
RAYMOND SCOTT HLAVATY
150 E 200 N STE A
LOGAN, UT 84321-4036
Phone number: 435-753-2828
Mailing Address
RAYMOND SCOTT HLAVATY
150 E 200 N STE A
LOGAN, UT 84321-4036
Phone number: 435-753-2828
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