Organization
ORAL & MAXILLOFACIAL IMAGING CENTER, INC.
Active
Other names
OMIC
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE R. PERRY D.R.T. (PRESIDENT)
(801) 942-5003
Entity
Organization
Contact information
Practice address
7001 S 900 E, SUITE 310, MIDVALE, UT 84047-1718
(801) 255-8899
Mailing address
7001 S 900 E, SUITE 310, MIDVALE, UT 84047-1718
(801) 255-8899
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
39396
UT
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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