Oragen In-House Surgery LLC

NPI #1831941095 in Herriman, Utah

Provider Information

NPI Number
1831941095
Entity Type
Organization
Organization Name
Oragen In-House Surgery LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Apr 2, 2024
Last Updated
Apr 2, 2024

Practice Location

Address
11996 S ANTHEM PARK BLVD # 100
State
Utah
ZIP Code
84096-5643
Phone
(801) 448-0366

Authorized Official

Name
WHITNEY PAVICK
Title
DIRECTOR OF OPERATIONS
Phone
(802) 857-7947

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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