Randall M Stucki Family Dentistry PC

NPI #1326352071 in Alpine, Utah

Provider Information

NPI Number
1326352071
Entity Type
Organization
Organization Name
Randall M Stucki Family Dentistry PC
Primary Specialty
Dentist
Enumeration Date
Aug 4, 2010
Last Updated
Aug 4, 2010

Practice Location

Address
75 W MAIN STREET CT STE 200
City
Alpine
State
Utah
ZIP Code
84004-5602
Phone
(801) 636-5455

Authorized Official

Name
DR. RANDALL MCKAY STUCKI, DDS
Title
OWNER/PRESIDENT
Phone
(801) 636-5455

Specialties & Taxonomy Codes

Specialty
Dentist

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