Cobble Creek Dental Llc | |
2274 N 400 E Suite 204 North Ogden UT 84414-7378 | |
(801) 399-0458 | |
(801) 393-2212 |
Full Name | Cobble Creek Dental Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 2274 N 400 E, North Ogden, Utah |
Authorized Official Name and Position | Mark E Harris (OWNER / DENTIST) |
Authorized Official Contact | 8013990458 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cobble Creek Dental Llc 2274 N 400 E Suite 204 North Ogden UT 84414-7378 Ph: (801) 399-0458 | Cobble Creek Dental Llc 2274 N 400 E Suite 204 North Ogden UT 84414-7378 Ph: (801) 399-0458 |
NPI Number | 1972868453 |
---|---|
Provider Enumeration Date | 07/10/2012 |
Last Update Date | 07/10/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972868453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6822295 (Utah) | Primary |
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