Lorene Householder

NPI #1659591378 in Park City, Utah

Provider Information

NPI Number: 1659591378
Entity Type: Individual
Name: Lorene Householder
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Apr 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1729 SIDEWINDER DR
Address 2: 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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