DR. Kent Alan Dastrup, DDS
NPI #1689725137 in Centerville, Utah
Provider Information
- NPI Number
- 1689725137
- Entity Type
- Individual
- Name
- DR. Kent Alan Dastrup, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 281 S MAIN ST STE 5
- City
- Centerville
- State
- Utah
- ZIP Code
- 84014-2292
- Phone
- (801) 292-0411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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