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Organization
ORAGEN, LLC
Active
Organization
ORAGEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUADE REYNOLDS (DIRECTOR)
(801) 997-9017
Entity
Organization
Contact information
Practice address
193 S 200 W STE B, FARMINGTON, UT 84025-2406
(801) 997-9017
Mailing address
5251 DTC PKWY, GREENWOOD VILLAGE, CO 80111-2799
(801) 997-9017
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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