Oral Design Dental

NPI #1477917458 in Holladay, Utah

Provider Information

NPI Number: 1477917458
Entity Type: Organization
Organization Name: Oral Design Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 6, 2016
Last Updated: Apr 6, 2016

Practice Location

Address: 4802 S HOLLADAY BLVD
City: Holladay
State: Utah
ZIP Code: 84117-5407
Phone: (801) 733-7035

Authorized Official

Name: MR. NICK OGANOV
Title: OWNER
Phone: (801) 733-7035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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