Individual
BONG K NOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2845 WEST 12600 SOUTH, RIVERTON, UT 84065
(801) 254-5255
(801) 446-0819
Mailing address
2845 WEST 12600 SOUTH, RIVERTON, UT 84065
(801) 254-5255
(801) 446-0819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3599589922
UT
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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