Randy Sean Barnhisel Dds, Pllc
NPI #1851937270 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1851937270
- Entity Type
- Organization
- Organization Name
- Randy Sean Barnhisel Dds, Pllc
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Nov 20, 2019
- Last Updated
- Nov 20, 2019
Practice Location
- Address
- 4970 S 900 E STE G
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84117-3930
- Phone
- (801) 262-6811
Authorized Official
- Name
- RANDY BARNHISEL, DDS
- Title
- OWNER
- Phone
- (801) 262-6811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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