MICAH G. MORTENSEN

SALT LAKE CITY, UT
NPI1891857579
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: UT  4726746-9921)
Enumeration Date2006-12-15
Last Update Date2022-06-15
Business Address
Dr. MICAH G. MORTENSEN D.D.S., M.S.D.
6287 S REDWOOD RD STE 202
SALT LAKE CITY, UT 84123-6655
Phone number: 801-262-3777
Mailing Address
Dr. MICAH G. MORTENSEN D.D.S., M.S.D.
15359 W COLUMBINE DR
SURPRISE, AZ 85379-9190
Phone number:
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