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KENT JOSEPH BAUGH DMD PC

Orthodontics and Dentofacial Orthopedics

Murray, Utah

Provider NPI: 1194294488

Provider Information:
 KENT JOSEPH BAUGH DMD PC
Gender: M
Sole Proprietor


Practice Location:
164 E 5900 S STE A109  MURRAY, UT 84107 US
Tel: 801-266-0061  Fax: 801-266-2206

Business Mailing Address:
164 E 5900 S STE A109  MURRAY, UT 84107 US
Tel: 801-266-0061  Fax: 801-266-2206

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
UT140981

Other Provider Identifiers:

IssuerNumberStateType
STATE OF UTAH LICENSE140981UT01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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