Organization
ADAMS AVENUE DENTAL PLLC
Active
Other names
Mountain View Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
5300 ADAMS AVE PKWY STE 17, OGDEN, UT 84405-6966
(801) 479-4580
Mailing address
5300 ADAMS AVE PKWY STE 17, OGDEN, UT 84405-6966
(801) 479-4580
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
02/22/2024
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