Heber Valley Oral & Maxillofacial Surgery

NPI #1043627607 in Heber City, Utah

Provider Information

NPI Number
1043627607
Entity Type
Organization
Organization Name
Heber Valley Oral & Maxillofacial Surgery
Primary Specialty
Dentist
Enumeration Date
Jul 16, 2014
Last Updated
Jul 16, 2014

Practice Location

Address
493 S MAIN ST
Address 2
SUITE 200
State
Utah
ZIP Code
84032-2240
Phone
(435) 315-2050

Authorized Official

Name
DR. JOSEPH FULLMER, DMD
Title
OWNER
Phone
(435) 315-2050

Specialties & Taxonomy Codes

Specialty
Dentist

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