Cobble Creek Dental LLC
NPI #1972868453 in North Ogden, Utah
Provider Information
- NPI Number
- 1972868453
- Entity Type
- Organization
- Organization Name
- Cobble Creek Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 10, 2012
- Last Updated
- Jul 10, 2012
Practice Location
- Address
- 2274 N 400 E
- Address 2
- SUITE 204
- City
- North Ogden
- State
- Utah
- ZIP Code
- 84414-7378
- Phone
- (801) 399-0458
Authorized Official
- Name
- MR. MARK E HARRIS, DDS
- Title
- OWNER / DENTIST
- Phone
- (801) 399-0458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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