Individual
DR. RONALD THANE HALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
945 E 5000 S, OGDEN, UT 84403-3919
(801) 475-0828
(801) 475-0828
Mailing address
945 E 5000 S, OGDEN, UT 84403-3919
(801) 475-0828
(801) 475-0828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1319149923
UT
1223G0001X
General Practice Dentistry
Primary
1319149923
UT
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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