NPI 1003822032

Ralph K Bair, DDSMSD

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Logan, UT

Practice location

Address: 1445 N 400 E Suite 3, Logan, UT 84341-7564
Phone: (435) 752-1320
Fax: (435) 755-6183

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 137384 (UT)

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Registry record

NPI: 1003822032
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2006
Record last updated: 8 Jul 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.