Individual
DR. SCOTT CARDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
845 N 100 W STE 100, OREM, UT 84057-3195
(858) 866-8484
Mailing address
PO BOX 7223, PROVO, UT 84602-7223
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
62260
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8546867-9922
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D008813
AZ
Other
Enumeration date
03/26/2013
Last updated
04/25/2022
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