Ernest Adam Sego Valid NPI

Individual provider · General Practice Dentistry · Smithfield, UT

NPI

1083075733

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

9450098-9922 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2016-03-09

Last updated

2016-03-09