Oral Maxillofacial Surgery, Pllc
NPI #1518040591 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1518040591
- Entity Type
- Organization
- Organization Name
- Oral Maxillofacial Surgery, Pllc
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 23, 2006
- Last Updated
- May 13, 2010
Practice Location
- Address
- 912 N 2000 W
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-4047
- Phone
- (801) 756-0766
Authorized Official
- Name
- JANINE GALE
- Title
- ASST. OFFICE MANAGER
- Phone
- (801) 375-4707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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