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1225124225
MATTHEW WENDALL MALAN
OGDEN, UT
NPI
1225124225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 53349169922)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Dr. MATTHEW WENDALL MALAN DMD
3860 JACKSON AVE SUITE 4
OGDEN, UT 84403-1956
Phone number: 801-627-0410
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Mailing Address
Dr. MATTHEW WENDALL MALAN DMD
3860 JACKSON AVE SUITE 4
OGDEN, UT 84403-1956
Phone number: 801-627-0410
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