# ORAL & MAXILLOFACIAL IMAGING CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OMIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013069848
- **Authorized official:** DUANE R. PERRY D.R.T. (PRESIDENT)
- **Authorized official phone:** (801) 942-5003

## Contact information

- **Practice address:** 7001 S 900 E, SUITE 310, MIDVALE, UT 84047-1718
- **Practice address phone:** (801) 255-8899
- **Mailing address:** 7001 S 900 E, SUITE 310, MIDVALE, UT 84047-1718
- **Mailing address phone:** (801) 255-8899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | 39396 | UT | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020