Poole and Willis Orthodontics

NPI #1942683214 in Logan, Utah

Provider Information

NPI Number: 1942683214
Entity Type: Organization
Organization Name: Poole and Willis Orthodontics
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jul 6, 2015
Last Updated: Jul 6, 2015

Practice Location

Address: 1340 N 600 E STE 2
City: Logan
State: Utah
ZIP Code: 84341-2475
Phone: (435) 753-0462

Authorized Official

Name: DR. MORRIS L POOLE, DDS
Title: ORTHODONTIST
Phone: (435) 753-0462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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