Organization
CACHE VALLEY ORAL & FACIAL SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S WILKINSON DMD, MD (OWNER)
(435) 752-5681
Entity
Organization
Contact information
Practice address
1320 N 600 E, SUITE 3, LOGAN, UT 84341-2431
(435) 752-5681
(435) 752-5744
Mailing address
1320 N 600 E, SUITE 3, LOGAN, UT 84341-2431
(435) 752-5681
(435) 752-5744
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1396909924
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
79545799924
UT
Other
Enumeration date
08/02/2011
Last updated
02/24/2025
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