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Periodontal Specialists

NPI #1750574810 in St George, Utah

Provider Information

NPI Number
1750574810
Entity Type
Organization
Organization Name
Periodontal Specialists
Primary Specialty
Dentist - Periodontics
Enumeration Date
Aug 22, 2007
Last Updated
Aug 22, 2007

Practice Location

Address
754 S MAIN ST STE 7
City
St George
State
Utah
ZIP Code
84770-5517
Phone
(435) 652-1605

Authorized Official

Name
THOMAS L BRADSHAW, DDS
Title
PERIODONTIST
Phone
(435) 652-1605

Specialties & Taxonomy Codes

Specialty
Dentist - Periodontics — Periodontics

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