SOUTH OGEN PDC PLLC

OGDEN, UT
NPI1649894486
Entity TypeOrganization
Authorized ContactJACOB WARNER
Credentialing Manager
801-691-1701
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2020-06-06
Last Update Date2020-06-06
Business Address
SOUTH OGEN PDC PLLC
5300 ADAMS AVE PKWY
OGDEN, UT 84405-6902
Phone number: 801-476-1234
Mailing Address
SOUTH OGEN PDC PLLC
PO BOX 970328
OREM, UT 84097-0309
Phone number: 801-476-1234
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