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1649894486
SOUTH OGEN PDC PLLC
OGDEN, UT
NPI
1649894486
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Entity Type
Organization
Authorized Contact
JACOB WARNER
Credentialing Manager
801-691-1701
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2020-06-06
Last Update Date
2020-06-06
Business Address
SOUTH OGEN PDC PLLC
5300 ADAMS AVE PKWY
OGDEN, UT 84405-6902
Phone number: 801-476-1234
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Mailing Address
SOUTH OGEN PDC PLLC
PO BOX 970328
OREM, UT 84097-0309
Phone number: 801-476-1234
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