Intermountain Dental Associates -Ortho-Mtn View
NPI #1700154606 in North Ogden, Utah
Provider Information
- NPI Number
- 1700154606
- Entity Type
- Organization
- Organization Name
- Intermountain Dental Associates -Ortho-Mtn View
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- INTERMOUNTAIN DENTAL ASSOCIATES SPECIALTY LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Dec 6, 2011
- Last Updated
- Dec 6, 2011
Practice Location
- Address
- 2721 N 400 E
- Address 2
- SUITE 2
- City
- North Ogden
- State
- Utah
- ZIP Code
- 84414-2393
- Phone
- (801) 782-5682
Authorized Official
- Name
- VICKI LEWIS
- Title
- SPECIALIST COORDINATOR
- Phone
- (801) 782-5682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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Organizations
| Provider Name | |
|---|---|
| Intermountain Dental Associates- Ortho- Cache Valley Part of Intermountain Dental Associates Specialty LLC | AI Deep Dive |
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