Organization
BURG ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCI NICOL (VP OF OPERATIONS)
(801) 918-4135
Entity
Organization
Contact information
Practice address
3377 ORCHARD DRIVE, NORTH SALT LAKE, UT 84010-8005
(801) 951-8038
Mailing address
3377 ORCHARD DR, BOUNTIFUL, UT 84010-8005
(801) 951-8038
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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