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1972620185
ROGER E GRUA
OGDEN, UT
NPI
1972620185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 135117)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Dr. ROGER E GRUA D.D.S.
3590 HARRISON BLVD. SUITE #5
OGDEN, UT 84403-2012
Phone number: 801-621-1440
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Mailing Address
Dr. ROGER E GRUA D.D.S.
4895 S 1075 E
OGDEN, UT 84403-4758
Phone number: 801-479-6512
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