ROGER E GRUA

OGDEN, UT
NPI1972620185
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  135117)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
Dr. ROGER E GRUA D.D.S.
3590 HARRISON BLVD. SUITE #5
OGDEN, UT 84403-2012
Phone number: 801-621-1440
Mailing Address
Dr. ROGER E GRUA D.D.S.
4895 S 1075 E
OGDEN, UT 84403-4758
Phone number: 801-479-6512