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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
McKay Dee Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF PHY EXECUTIVE)
(801) 442-3495
Entity
Organization
Contact information
Practice address
4403 HARRISON BLVD STE 3875, OGDEN, UT 84403-3332
(801) 387-7880
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-7880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
01/07/2021
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