Most Relevant Information
Provider Data
| NPI Number: | 1003009150 |
| Provider Name: | IRVIN LEE ENCE |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 1356769922 |
Most Important Dates
| Enumeration Date: | 08/22/2007 |
| Last Updated: | 08/22/2007 |
Provider Practice Location
10 DIAGONAL STREET
#102
ST GEORGE
UT
84770
Practice Location Phone/Fax
| Phone: | 4356286026 |
| Fax: | 4356564595 |
Provider Mailing Location
10 DIAGONAL STREET
#102
ST GEORGE
UT
84770
Provider Mailing Phone/Fax
| Phone: | 4356286026 |
| Fax: | 4356564595 |