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Organization
MILLARD COUNTY ORAL & FACIAL SURGERY PLLC
Active
Organization
MILLARD COUNTY ORAL & FACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY PAVICK (DIRECTOR OF OPERATIONS)
(435) 554-1400
Entity
Organization
Contact information
Practice address
86 WHITE SAGE AVE, DELTA, UT 84624-5555
(435) 554-1400
Mailing address
86 WHITE SAGE AVE, DELTA, UT 84624-5555
(435) 554-1400
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
08/05/2026
Last updated
08/05/2026
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