Tamara Bozeman

NPI #1497982185 in Park City, Utah

Provider Information

NPI Number: 1497982185
Entity Type: Individual
Name: Tamara Bozeman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Jun 19, 2009
Last Updated: Jun 19, 2009

Practice Location

Address: 1729 SIDEWINDER DR STE 102
City: Park City
State: Utah
ZIP Code: 84060-7322
Phone: (435) 649-9492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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