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1972734515
CELESTE C MORTENSON
PROVIDENCE, UT
NPI
1972734515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 7364168-9922)
Enumeration Date
2009-07-30
Last Update Date
2018-05-03
Business Address
Dr. CELESTE C MORTENSON DDS
169 N GATEWAY DR STE 175
PROVIDENCE, UT 84332-9825
Phone number: 435-752-0605
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Mailing Address
Dr. CELESTE C MORTENSON DDS
169 N GATEWAY DR STE 175
PROVIDENCE, UT 84332-9825
Phone number: 435-752-0605
Copy
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