Harley Jo Whitesides
NPI #1124917695 in Stansbury Park, Utah
Provider Information
- NPI Number
- 1124917695
- Entity Type
- Individual
- Name
- Harley Jo Whitesides
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 30, 2025
- Last Updated
- Jun 30, 2025
Practice Location
- Address
- 576 E HIGHWAY 138 STE 200
- City
- Stansbury Park
- State
- Utah
- ZIP Code
- 84074-4028
- Phone
- (435) 728-0550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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