TAYLOR V PETTIT

LOGAN, UT
NPI1982448759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  14038757-9923)
Enumeration Date2024-06-25
Last Update Date2024-07-02
Business Address
TAYLOR V PETTIT DDS
167 E 200 N STE 3
LOGAN, UT 84321-4049
Phone number: 435-363-3584
Mailing Address
TAYLOR V PETTIT DDS
197 EVERGREEN DR
IDAHO FALLS, ID 83401-2907
Phone number: 208-971-2125
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