Most Relevant Information
Provider Data
| NPI Number: | 1003307802 |
| Provider Name: | DICK NATHAN EINERSON DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 10850096-9922 |
Most Important Dates
| Enumeration Date: | 05/29/2018 |
| Last Updated: | 05/29/2018 |
Provider Practice Location
EAST HWY 262
MONTEZUMA CREEK
UT
84511
Practice Location Phone/Fax
| Phone: | 4356513700 |
| Fax: |
Provider Mailing Location
311 N 400 W
BLANDING
UT
845114115
Provider Mailing Phone/Fax
| Phone: | 4354850162 |
| Fax: |