NPI 1003009150

Irvin Lee Ence

Practitioner Dentist St George, UT

Practice location

Address: 10 Diagonal Street #102, St George, UT 84770
Phone: (435) 628-6026
Fax: (435) 656-4595

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 1356769922 (UT)

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Registry record

NPI: 1003009150
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2007
Record last updated: 22 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.